Placenta Previa Diagnosis in London

Placenta previa is usually diagnosed during the routine 20-week anatomy scan, where a detailed ultrasound can reveal the placenta’s location. The scan allows the sonographer or obstetrician to assess whether the placenta is low-lying and if it partially or fully covers the cervix. If placenta previa is detected, additional scans may be scheduled throughout the pregnancy to monitor whether the placenta moves upwards as the uterus expands.

If the placenta remains low in later pregnancy, additional follow-up scans in the third trimester are crucial to monitor any changes. These additional assessments help in determining the safest delivery plan, as some cases may require a planned caesarean section. At London Pregnancy Clinic, our team provides comprehensive ultrasound services to monitor placenta previa closely, ensuring the mother’s and baby’s safety.

In many cases, placenta previa can resolve on its own as the pregnancy progresses. As the uterus grows, the placenta often shifts upward, away from the cervix, making a normal delivery possible. This movement, called “placental migration,” is common, especially if only a small part of the placenta is low-lying at the time of diagnosis.

However, if the placenta covers the cervix completely, it is less likely to move sufficiently for a natural delivery. Regular follow-up scans in the third trimester are essential to monitor any changes and to assess whether a caesarean delivery may be necessary. London Pregnancy Clinic’s experienced team is dedicated to tracking these changes and helping expectant mothers make informed decisions based on the most current information.

One of the main symptoms of placenta previa is painless vaginal bleeding, especially in the second or third trimester. This bleeding can vary in severity and may come and go. If you experience any bleeding, it’s essential to seek medical advice immediately, as prompt assessment can reduce risks to both mother and baby.

In addition to bleeding, some women with placenta previa may experience mild cramping or pressure in the pelvic area. It’s crucial to maintain open communication with your healthcare provider and report any concerning symptoms. At London Pregnancy Clinic, we provide expert guidance and support, helping you to understand what to expect and when to seek assistance, ensuring you are well-prepared and reassured throughout your pregnancy.

Placenta previa carries certain risks, primarily due to its potential to cause bleeding. The most common complication is painless vaginal bleeding, which can increase as the pregnancy progresses and can sometimes require early delivery if severe. There’s also a higher likelihood of needing a caesarean section if the placenta continues to cover the cervix near delivery time.

The risk of preterm birth is also higher with placenta previa, especially if bleeding necessitates an early delivery. At London Pregnancy Clinic, our team is highly experienced in managing these risks, offering regular monitoring and support to ensure that any complications are addressed promptly. By working closely with our obstetricians, you can confidently manage placenta previa with an individualised care plan designed to protect both mother and baby.

While there is no direct “treatment” to move the placenta, managing placenta previa focuses on reducing risks and monitoring placental position as pregnancy progresses. Treatment plans are personalised based on the severity of the condition and the stage of pregnancy. Rest and activity restrictions may be recommended, as well as avoiding anything that might irritate the cervix, like sexual activity.

For more severe cases, hospitalisation may be advised to monitor for any bleeding or signs of premature labour. If the placenta continues to cover the cervix towards the end of the pregnancy, a caesarean section will be planned to ensure a safe delivery. At London Pregnancy Clinic, our approach includes regular monitoring, detailed guidance on lifestyle adjustments, and close collaboration with our obstetric team to create the safest plan for each patient.

In most cases, a vaginal delivery is not possible if the placenta is still covering the cervix near the time of delivery. Placenta previa can obstruct the birth canal, making a caesarean section the safest option for both mother and baby. However, if the placenta moves away from the cervix as the pregnancy progresses, vaginal delivery may be considered.

At London Pregnancy Clinic, we continuously monitor placental position to provide the most accurate delivery advice as your pregnancy advances – when booking with our obstetricians. By the third trimester, our team will have a clearer picture of whether a caesarean or vaginal delivery is appropriate, ensuring you receive the safest and most suitable birth plan based on your unique situation.

To reduce risks with placenta previa, it’s essential to follow your obstetrician’s guidance on activity levels and lifestyle adjustments. Avoid heavy lifting, intense physical activity, and sexual intercourse, as these can aggravate symptoms or trigger bleeding. Regular prenatal check-ups and ultrasound scans are also crucial for monitoring any changes in the placenta’s position.

Maintaining close contact with your healthcare provider and reporting any symptoms immediately is key to managing placenta previa safely. London Pregnancy Clinic offers personalised support, ensuring that you feel confident in your management plan and fully informed of any potential risks as your pregnancy progresses.

Hospitalisation may be recommended if you experience severe bleeding or other complications related to placenta previa. Some women with placenta previa may be advised to stay in the hospital closer to their due date for close monitoring, particularly if there’s a higher risk of bleeding or preterm labour.

The need for hospitalisation varies depending on the severity of the condition and the individual’s circumstances. At London Pregnancy Clinic, we carefully assess each case and provide personalised recommendations, ensuring you receive the appropriate level of care and monitoring for a safe outcome.

If a caesarean delivery is planned due to placenta previa, you can expect the procedure to be scheduled in advance, typically around 36–37 weeks, to minimise the risk of spontaneous labour. A caesarean section is necessary in most cases if the placenta is blocking the cervix, as it ensures a safe delivery route for the baby.

The team at London Pregnancy Clinic is experienced in preparing patients for caesarean deliveries and will provide comprehensive information on what to expect before, during, and after the procedure. We prioritise your comfort and safety, with detailed post-surgery care instructions and follow-up appointments to support your recovery and ensure the best possible outcomes for both mother and baby.