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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Scan During 21 Weeks Of Pregnancy Indicate?

Hello doctor, i had my scan done at 21 weeks 3 days pregnancy which showed placenta covering the internal os completely.doctor told me to do a follow up scan at 32 weeks. What are the precautions i should take till then. What are the chances that the placenta may migrate?can i carry my normal day to day work ,walking etc?? Thanks
Mon, 8 Dec 2014
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OBGYN,  's  Response
Hi
You have not given few necessary information like whether you have had cesarean section before.
In most women with placenta prévia at this gestational age, the placenta migrates up as pregnancy progresses. You have about 1in 10 chance of having placenta prévia later in pregnancy.
However if you have had a cesarean section before and if the placenta is anterior now you have 1 in 2 chance of having placenta prévia later in pregnancy.

The risk with placenta prévia is that you may start bleeding any time and it can be severe. Untill you repeat your scan
1. Avoid intercourse
2.Eat healthy diet rich in iron and take iron supplements regularly to maintain hemoglobin level
3.Avoid constipation
4.Avoid heavy work
5. As much as possible Stay within 10 -15 minutes driving distance to major hospital.
6. Avoid travel to remote area or travel by air
7. Attend hospital immediately even if you have slight bleeding or if you have pain abdomen.

As long as you feel healthy and you don't
bleed you can carry on with your light work and walking.
If you have any further queries, feel free to ask me.
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What Does This Scan During 21 Weeks Of Pregnancy Indicate?

Hi You have not given few necessary information like whether you have had cesarean section before. In most women with placenta prévia at this gestational age, the placenta migrates up as pregnancy progresses. You have about 1in 10 chance of having placenta prévia later in pregnancy. However if you have had a cesarean section before and if the placenta is anterior now you have 1 in 2 chance of having placenta prévia later in pregnancy. The risk with placenta prévia is that you may start bleeding any time and it can be severe. Untill you repeat your scan 1. Avoid intercourse 2.Eat healthy diet rich in iron and take iron supplements regularly to maintain hemoglobin level 3.Avoid constipation 4.Avoid heavy work 5. As much as possible Stay within 10 -15 minutes driving distance to major hospital. 6. Avoid travel to remote area or travel by air 7. Attend hospital immediately even if you have slight bleeding or if you have pain abdomen. As long as you feel healthy and you don t bleed you can carry on with your light work and walking. If you have any further queries, feel free to ask me.