At how many weeks is it best to perform a cesarean section for complete placenta previa?

Mar 02, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Cesarean section refers to delivery via abdominal surgery. For complete placenta previa, cesarean delivery is recommended after 35 weeks of gestation. Complete placenta previa, also known as central placenta previa, occurs when the placenta completely covers the cervical os. After 28 weeks of pregnancy, the placental position may become lower, and bleeding may occur in late pregnancy. This condition is a contraindication for vaginal delivery.

Cesarean section refers to the surgical delivery of a baby through an incision in the mother's abdomen and uterus. For complete placenta previa, cesarean delivery is recommended after 35 weeks of gestation.

Complete placenta previa, also known as central placenta previa, occurs when the placenta completely covers the cervical opening. After 28 weeks of pregnancy, the placental position may become lower, and bleeding can occur in late pregnancy. This condition is a contraindication for vaginal delivery. It is important to choose a hospital with adequate blood supply and sufficient hemostatic and uterotonic medications. Multidisciplinary consultations before surgery—such as with anesthesiology, neonatology, transfusion medicine, intensive care unit (ICU), and uterine artery specialists—are highly recommended to reduce potential risks. Comprehensive and detailed preoperative evaluations should be performed. If there is no vaginal bleeding or uterine contraction, prolonging the pregnancy appropriately may benefit fetal development. However, any episode of vaginal bleeding requires immediate medical evaluation.

After cesarean delivery, pay close attention to your body's recovery and wound care. Avoid prolonged bed rest; getting up and moving around appropriately can promote wound healing. Keep the surgical wound dry and avoid contact with water. Clean the external genital area regularly before bedtime. Refrain from sexual intercourse for at least two months.

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