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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Scan Showing Posterior Low Lying Touching OS A Cause For Concern?

Hi my wife is 16 weeks pregnant and she went with 2nd trimester scan and got posterior low lying touching OS cervical length measures 3.2cms. so far spotting is not there thought my wife and her DOC are very confident i m a bit worried and is suggested for complete bed rest. my question is 1. How good the delivery be in later stage 2. what precautions she must take 3. will the baby be completely fine i was reading previous comments in the Forum, and found convincing to me and few suggestions were keeping pillow between legs while sleeping on left side
Wed, 15 Apr 2020
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General Surgeon 's  Response
Hello,

* There are various reasons and clinical implications of low lying placenta reaching cervical os.

* Dangers of the situation during pregnancy include

- sudden spotting or variable degree of vaginal bleeding

- threatened abortion

- difficulty in descent of neonate

- compromise in fetal circulation in some cases with abnormal vessels reaching the cord

- complications during delivery

- inadverent injury during artificial rupture of membranes

- high chances of need of a Cesarean delivery

* Precautions to be taken during pregnancy are

- strict bed rest for prescribed period of time

- regular OBGY follow up

- strictly avoid intercourse till delivery

- avoid weight lifting or heavy maneuvers

- avoid smoking if consuming

- watch for any spotting, bleed or liquor discharge at any time and report at ER.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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Is The Scan Showing Posterior Low Lying Touching OS A Cause For Concern?

Hello, * There are various reasons and clinical implications of low lying placenta reaching cervical os. * Dangers of the situation during pregnancy include - sudden spotting or variable degree of vaginal bleeding - threatened abortion - difficulty in descent of neonate - compromise in fetal circulation in some cases with abnormal vessels reaching the cord - complications during delivery - inadverent injury during artificial rupture of membranes - high chances of need of a Cesarean delivery * Precautions to be taken during pregnancy are - strict bed rest for prescribed period of time - regular OBGY follow up - strictly avoid intercourse till delivery - avoid weight lifting or heavy maneuvers - avoid smoking if consuming - watch for any spotting, bleed or liquor discharge at any time and report at ER. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel