#asktheexpert what to do if placenta is low lying in week 19

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A low-lying placenta, or placenta previa, means that the placenta is positioned too low in the uterus, covering or being close to the cervix. In week 19 of pregnancy, if your placenta is low-lying, it may move as your pregnancy progresses. However, here are some things you can do and what you should know:

1. Monitoring the Position

Regular Ultrasounds: Your doctor will likely schedule follow-up ultrasounds to monitor the position of the placenta. Many low-lying placentas move upwards as the pregnancy progresses, especially as the uterus grows.

Placenta Position Changes: In many cases, the placenta moves away from the cervix as the uterus stretches. By 28-32 weeks, it may no longer be a concern.

2. Avoiding Heavy Lifting or Strenuous Activity

Minimize Stress: Avoid heavy lifting or any strenuous physical activity that could put strain on your abdomen or uterus, as this may increase the risk of complications.

3. Be Aware of Bleeding

Vaginal Bleeding: One of the risks of a low-lying placenta is bleeding. If you notice any vaginal bleeding (especially in the second or third trimester), seek immediate medical attention.

No Sex or Certain Exercises: In some cases, your doctor may recommend avoiding sexual intercourse or activities that might lead to vaginal irritation or increase the risk of bleeding.

4. Symptoms to Watch For

Pain or Bleeding: If you experience any bleeding, cramping, or unusual pain, contact your doctor right away. Even if bleeding is minimal, it is important to seek advice.

5. Rest and Relaxation

Rest: Your doctor may advise more bed rest or taking it easy to avoid any potential complications, especially if there are any symptoms of bleeding.

6. Planning for Delivery

Cesarean Section: If the placenta remains low-lying as you approach term (around 34-36 weeks), a cesarean section may be planned. This is done to prevent any complications during labor, as vaginal delivery is not possible with placenta previa.

7. Follow-up Appointments

Regular Check-ups: It is crucial to attend all follow-up appointments with your doctor to ensure that the placenta is moving upward and to monitor for any other complications that may arise.

8. Discuss with Your Doctor

Individualized Care: Since every pregnancy is different, make sure to have a detailed discussion with your doctor about the best course of action for you and your baby. They will guide you on the best practices to reduce risks and support a healthy pregnancy.

In most cases, a low-lying placenta diagnosed in early pregnancy resolves itself by later stages. However, it's important to follow your healthcare provider's recommendations closely to ensure both your health and the baby's safety.