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Understanding placenta previa in pregnant women

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Placenta previa (low-lying placenta) refers to a condition where the opening of the cervix is covered by the placenta, partially or totally. It is usually accompanied by painless bleeding which begins in the second half of pregnancy.

The placenta is the most vital organ for the baby’s growth since it provides oxygen and nutrients to the growing baby. It is also responsible for waste removal from the baby’s blood. On normal occasions, the placenta attaches itself to the wall of  the uterus. The umbilical cord arises from it.

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A placenta previa is diagnosed through an ultrasound. It can also be diagnosed through a combination of abdominal ultrasound and trans-vaginal ultrasound, done with a wand-like device placed inside the birth canal. Care is taken when inserting the device, to ensure it doesn’t disrupt the placenta and cause bleeding.

Types of placenta previa

a)Partial placenta previa

This happens when the placenta covers the birth canal partially, therefore making  vaginal birth possible.

b)Low-lying

This is where the placenta is positioned at the end of the cervix. Vaginal birth is also possible with this type of placenta previa.

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c)Marginal

This happens when the placenta grows at the bottom of the uterus. It pushes against the cervix but does not cover it.

d)Complete placenta previa

Occurs when the placenta completely covers  the cervical opening making it impossible for vaginal birth. A caesarean section (CS) will have to be carried out and depending on the severity of the condition, the baby may have to be delivered prematurely.

In all placenta previa types, heavy or uncontrollable bleeding occurs and an emergency CS be necessary to save the baby and mother’s life as soon as it is deemed fit to deliver which is preferably after 36 weeks. The baby may also be given corticosteroid injections to speed up lung growth.

Image;Types of placenta previa( goldengateobygyn.org )

Causes

The exact cause of placenta previa is unknown. However the common risk factors are among women who:

a)Have had previous pregnancies.

b)Have had pre-pregnancies surgeries such as cesarean deliveries, uterine fibroid removal, dilation and curettage.

c) Are carrying more than one child.

d)Who have had a placenta previa before.

e)Are of a maternal age of 35 years and above.

f) Smoke or use cocaine.

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Symptoms

The main symptom of a placenta previa is sudden painless vaginal bleeding. It might be after intercourse, during the second half of the pregnancy or bleeding that starts, stops and begins again later on.

Other symptoms include, cramps or sharp abdominal pains.

Treatment

Treatment of placenta previa depends on:

The amount of bleeding

This is the main consideration when deciding the mode of treatment. With minimal or no bleeding the doctor will recommend bed rest. This refers to resting in bed and only standing or sitting when necessary. The doctor will also recommend  pelvic rest. Whereby one has to avoid sexual activities and vigorous physical exercises.

Image source;healthline.comThe position of the placentaThe baby and mother’s healthThe month of your pregnancy

Dealing with placenta previa can be hard and stressful. Try talking to someone about it most probably other women who have had the same. Educate yourself more about your condition and learn how to prepare yourself well for delivery.

Get prepared for anything depending on the type of placenta previa for example a CS or a pre-term birth. Remember, what matters the most is your health and that of your baby. Finally, enjoy bed and pelvic rest. This will make you feel better and even give a higher chance for the placenta to rise.

Featured Image Source: heart.org.com

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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