
156: Placenta Previa Explained: Diagnosis, Bleeding Risks, Delivery Plan, and Safe Exercise
Certified nurse midwife Roxanne explains placenta previa—when the placenta covers or sits very close to the cervix (complete, partial, or low-lying)—usually found at the 18–22 week anatomy scan. While it can show up in 10–30% of pregnancies early on, most resolve as the uterus grows (about 90–95% for low-lying/partial and ~70% for complete), with follow-up ultrasounds commonly around 28, 32, and sometimes 36 weeks to decide delivery plans. The big concern is sudden, painless, often heavy bleeding from placental shearing, which can mean hospitalization, earlier delivery, and often a C-section if it persists at term, plus higher hemorrhage risk. Management includes pelvic rest (no vaginal insertion) and individualized activity limits—especially if bleeding occurs—with aerobic exercise generally avoided and lighter/moderate, more anaerobic options discussed with your provider.
00:00 Placenta Previa Explained
01:04 Diagnosis and Odds
01:42 Types and Resolution
02:44 Why It Matters Bleeding
04:26 Monitoring and Delivery Plan
05:59 Pelvic Rest Basics
06:54 Exercise and Activity Limits
09:53 Safe Movement Guidelines
11:10 Recap Key Takeaways
14:40 Coping and Next Steps
15:09 Subscribe and Resources
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