In case of borderline placenta previa at 35 weeks’ gestation, if the bleeding is heavy, a comprehensive assessment is needed to decide whether to keep the baby alive or not. If there is a lot of bleeding or fetal distress, etc., it is also necessary to be evaluated by a doctor before deciding whether to terminate the pregnancy.
The principle of treatment for borderline placenta praevia is to correct anemia, inhibit contractions, prevent infection and terminate the pregnancy at the right time.
1. If the pregnancy is less than 36 weeks, the fetus is alive and the general condition is good, the pregnancy should be prolonged as long as possible under the premise of protecting the safety of mother and child. Attention should be paid to rest, timely correction of anemia and hemostasis.
2. If the amount of bleeding gradually increases or even shock or fetal distress and other obstetric indications occur, the pregnancy should be terminated immediately. For borderline placenta praevia, the pregnancy can be terminated after 38 weeks of gestation.
In case of marginal placenta previa with small amount of bleeding, the patient should be admitted to the hospital and treated according to the doctor’s advice, and the pregnancy should be terminated if necessary.