Treatment for placenta previa depends on various factors, including:
- The amount of bleeding
- Whether the bleeding has stopped
- How far along your pregnancy is
- Your health
- Your baby's health
- The position of the placenta and the baby
For little or no bleeding
If you have little or no bleeding, your health care provider may recommend bed rest at home. In some cases, you may need to lie in bed most of the time — sitting and standing only when necessary.
You'll need to avoid sex, which can trigger bleeding. Exercise is usually off-limits, too. Be prepared to seek emergency medical care if you begin to bleed. You'll need to be able to get to the hospital quickly if bleeding resumes or gets heavier.
If the placenta doesn't completely cover your cervix, you may be allowed to attempt a vaginal delivery. If you begin to bleed heavily, you may need an emergency C-section.
For heavy bleeding
If you're bleeding, you may need hospital bed rest. Severe bleeding may require a blood transfusion to replace lost blood. You may also benefit from medications to prevent premature labor.
Your health care provider will likely plan a C-section as soon as the baby can be delivered safely, ideally after 36 weeks of pregnancy. If you need a C-section before 36 weeks, you may be given corticosteroids to speed your baby's lung development.
For bleeding that won't stop
If your bleeding can't be controlled or your baby is in distress, you may need an emergency C-section — even if the baby is premature.
May 09, 2014
- Lockwood CJ, et al. Clinical manifestations and diagnosis of placenta previa. http://www.uptodate.com/home. Accessed Jan. 27, 2014.
- Bleeding during pregnancy. American Congress of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq038.ashx. Accessed Jan. 27, 2014.
- Lockwood CJ, et al. Management of placenta previa. http://www.uptodate.com/home. Accessed Jan. 27, 2014.
- Placenta previa. March of Dimes. http://www.marchofdimes.com/pregnancy/placenta-previa.aspx. Accessed Jan. 27, 2014.
- Cunningham FG, et al. Williams Obstetrics. 23rd ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=46. Accessed Jan. 27, 2014.
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