Treatment of placenta previa

Medically Reviewed by Dr Sravya, MBBS, MS 


Placenta Previa is the situation in which the placenta fully or slightly gets over the internal os of the cervix. It is a serious risk factor in postpartum hemorrhage and can cause morbidity and mortality of both the mother and neonate. This situation does not allow a safe vaginal delivery, and if the mother has placenta previa, there is no treatment for placenta previa available. It requires the delivery of the neonate to be
via cesarean delivery or management of bleeding and faster fetal development with medication.

treatment of placenta previa

Placenta Previa occurs in about 1 in every 200 pregnant women. The risk of symptoms of placenta Previa increases with age, smoking, and having a previous cesarean delivery. It is more common in those women who have had pregnancies several times. The severity of placenta Previa ranges from mild to severe. In severe cases of placenta Previa, the placenta may cover the entire cervix, making it more difficult and almost impossible for the baby to pass through the birth canal. There is a high risk of severe bleeding, placenta accreta, and preterm birth in women who have developed placenta previa. 

If the mother has symptoms of low-lying placenta at 32 weeks, scan cesarean delivery is advised.

Types Of Placenta Previa

There are three types of Placenta Previa:


The exact cause of developing placenta Previa is unknown. However, some factors
can contribute to the development of placenta previa, including:

Treatment Of Placenta Previa​

There is no treatment available to move the placenta and change its position. Treatment of placenta previa depends on the severity of the bleeding or how far along the pregnancy is. With the diagnosis of placenta previa, the patient is consulted for elective delivery at the 36th to 37th week by performing a cesarean section. Some women with placenta previa have complications and require urgent cesarean sections at a very early gestational age.

Mothers with excessive and continuous vaginal bleeding must be delivered by doing a C-section regardless of gestational age. If bleeding is moderate, then expectant management can be followed if the gestational age is less than 36 weeks. In some cases, patients should be admitted and, if required, should be given magnesium sulfate for neuroprotection and steroids for the lung maturity of the baby.
During the first and second trimester, vaginal bleeding may be secondary to subchorionic hematoma, cervicitis, cervical cancer, threatened abortion, ectopic pregnancy, or molar pregnancy. For the third trimester, vaginal bleeding can be due to labor, placental abruption, vasa previa, or placenta previa.
Although vasa previa can be identified in grey-scale as linear structures within front of the inner os, the diagnosis is substantially easy by putting a flash of color Doppler over the cervix.
Let’s have a look at low-lying placenta treatment and vasa previa treatment.

Low-lying placenta treatment

The low-lying placenta is diagnosed when the inferior placental edge is at a distance of about 2 cm from the internal cervical os but does not overlap it. Low-lying placenta may be correlated with antepartum hemorrhage and it is an indication for cesarean delivery if persistent into the third trimester. If the placenta is low-lying and there is no bleeding, the doctor may suggest following regular monitoring to observe if the placenta moves up on its own. If the placenta does not move up on its own and there is no bleeding, the doctor may suggest any of the following treatments:

Vasa previa treatment

The main symptom of vasa previa condition is there is rupture of the vessels that carry fetal blood. This occurs at or near the delivery period if the condition is undetected and can result in prenatal mortality in 56% of cases if remains undiagnosed. The major complication of vasa previa treatment is to prevent this rupture of the vessels carrying fetal blood. Another symptom of vasa previa is fetal bradycardia.

Following are some measures taken for treating vasa previa:

Frequently Asked Questions

There are no specific treatments available for placenta previa, but some preventive measures that doctors will recommend, such as bed rest, hospitalization, medications, and c-section delivery.

When you receive the proper treatment, most women and their babies get delivered safely. However, there is an increased risk of complications such as premature birth, low birth weight, and infection.When you receive the proper treatment, most women and their babies get delivered safely. However, there is an increased risk of complications such as premature birth, low birth weight, and infection.

There is no known option to prevent vasa previa. However, if you have any of the risk factors, it is very important to see your doctor and talk about your pregnancy care.

A low-lying placenta is a condition when the placenta is implanted lower in the uterus than usual.

There are some risks associated with c-sections, such as Bleeding, Infection, blood clots, and anesthesia complications.

Make an appointment

Applications are processed by the call center operators on weekdays from 8:00am to 8:00pm.

    A note to our visitors

    This website has updated its privacy policy in compliance with changes to European Union data protection law, for all members globally. We’ve also updated our Privacy Policy to give you more information about your rights and responsibilities with respect to your privacy and personal information. Please read this to review the updates about which cookies we use and what information we collect on our site. By continuing to use this site, you are agreeing to our updated privacy policy.