Low-lying placenta occurs when the placenta extends into the lower uterine segment and its edge lies too close to the internal os of the cervix, without covering it. The term is usually applied when the placental edge is within 0.5-5.0 cm of the internal cervical os 1. Some alternatively give the term when the placental edge is within 2 cm from the internal cervical os 5.
It has also classified under the benign end of the spectrum of type 1 placenta praevia, although some restrict the term "praevia" only for the situation in which the placenta covers the internal cervical os.
The estimated prevalence may be as high as 10-30% of all pregnancies 2,7. The majority of placentas classified as low-lying in early pregnancy (12-14 weeks) reach a normal position on subsequent scanning later during the pregnancy due to placental trophotropism.
Transvaginal ultrasound is more accurate for evaluation of a low-lying placenta than transabdominal ultrasound 8.
Situations that may mimic a low lying placenta on a trans-abdominal scan includes
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- 6. Page IJ, Wolstenhulme S. Does the ultrasound diagnosis of low-lying placenta in early pregnancy warrant a repeat scan? J R Army Med Corps. 1991;137 (2): 84-7. - Pubmed citation
- 7. Chama CM, Wanonyi IK, Usman JD. From low-lying implantation to placenta praevia: a longitudinal ultrasonic assessment. J Obstet Gynaecol. 2004;24 (5): 516-8. doi:10.1080/01443610410001722545 - Pubmed citation
- 8. Lauria MR, Smith RS, Treadwell MC, Comstock CH, Kirk JS, Lee W, Bottoms SF. The use of second-trimester transvaginal sonography to predict placenta previa. Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology. 8 (5): 337-40. doi:10.1046/j.1469-0705.1996.08050337.x - Pubmed
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