NHS website - What complications can affect the placenta?
Complications that can affect the placenta during pregnancy or childbirth include:
- low-lying placenta
- retained placenta – when part of the placenta remains in the womb after giving birth
- placental abruption – when the placenta starts to come away from the wall of the womb
These complications aren't common.
As your pregnancy progresses, your womb expands and this affects the placenta's position. The area where the placenta is attached usually stretches upwards, away from your cervix.
If the placenta stays low in your womb, near to or covering your cervix, it may block the baby's way out. This is called low-lying placenta or placenta praevia. It affects about one in every 200 births, but in most cases the cervix is not completely covered.
The position of your placenta will be recorded at your 18-21-week ultrasound scan. If your placenta is significantly low, you'll be offered an extra ultrasound scan later in your pregnancy (usually at about 32 weeks) to check its position again. For nine in every 10 women, the placenta will have moved into the upper part of the womb by this point.
If the placenta is still low in your womb, there's a higher chance that you could bleed during your pregnancy or during your baby's birth. This bleeding can be very heavy and can put you and your baby at risk. You may be advised to come into hospital at the end of your pregnancy, so that emergency treatment (such as a blood transfusion) can be given very quickly if you bleed.
If the placenta is near or covering the cervix, your baby can't be delivered through the vagina, so a caesarean section will be recommended.
A low-lying placenta can be associated with painless, bright red bleeding from the vagina during the last three months of pregnancy. If this happens to you, contact your midwife or GP immediately.
After your baby is born, part of the placenta or membranes can remain in the womb. This is known as retained placenta. If untreated a retained placenta can cause life-threatening bleeding.
Breastfeeding your baby as soon as possible after the birth can help your womb contract and push the placenta out.
Your midwife may also ask you to change your position, for example by moving to a sitting or squatting position. In some cases, you may be given an injection of a medicine to help your womb contract.
If these methods don't work, you may need an operation to remove the placenta.
Placental abruption is a serious condition in which the placenta starts to come away from the inside of the womb wall. It can cause stomach pain, bleeding from the vagina and frequent contractions. It can also affect the baby, increasing the risk of premature birth, growth problems and stillbirth.
It's not clear what causes placental abruption, but factors that increase the risk include injury to the abdominal area, smoking, cocaine use and high blood pressure.
If you're near your due date, the baby will need to be born straight away, and a caesarean section may be recommended. However, if the baby is very premature and the abruption is minor, you may be kept in hospital for close observation.
Always speak to your midwife or GP if you are concerned about any aspect of your health when you're pregnant. You can also call NHS 111.
Read the answers to more questions about pregnancy.
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