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The Having a Baby in Queensland Book Dec 2010 v1.0

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3. To see what position a woman’s placenta is <strong>in</strong>While it is not usually offered for this reason, a first trimesterultrasound scan can be a way of f<strong>in</strong>d<strong>in</strong>g out the position of awoman’s placenta. <strong>The</strong> placenta is an organ that connects tothe wall of the uterus and is also connected to the baby by theumbilical cord.For some women, the placenta is down low <strong>in</strong> the uterus and isnear to or cover<strong>in</strong>g the cervix. When a woman has a placentathat is near to or cover<strong>in</strong>g the cervix, she is said to have placentapraevia. When a woman has placenta praevia, the placenta canblock the baby com<strong>in</strong>g out of the vag<strong>in</strong>a dur<strong>in</strong>g birth. Womenwith placenta praevia often have different considerations anddecisions than women who do not. If a care provider knows thata woman has placenta praevia, he or she can give the woman<strong>in</strong>formation and care more suited to her unique pregnancy.Frequently, a placenta that is down low <strong>in</strong> the uterus <strong>in</strong> thefirst trimester can change positions and move away from thecervix as the uterus grows dur<strong>in</strong>g pregnancy. If a first trimesterultrasound scan shows that your placenta is low <strong>in</strong> the uterus,near to or cover<strong>in</strong>g your cervix, you may be offered anotherultrasound scan later <strong>in</strong> pregnancy to see if your placenta haschanged positions [4].4. To see whether a woman has a multiple pregnancyA first trimester ultrasound scan can be a way of f<strong>in</strong>d<strong>in</strong>g out if awoman has a multiple pregnancy. A multiple pregnancy is whena woman is carry<strong>in</strong>g tw<strong>in</strong>s, triplets or more babies. Women with amultiple pregnancy often have different considerations and decisionsthan women who are carry<strong>in</strong>g one baby. If a care provider knowsthat a woman has a multiple pregnancy, he or she can give thewoman <strong>in</strong>formation and care more suited to her unique pregnancy.You may be able to f<strong>in</strong>d out whether you have a multiple pregnancy<strong>in</strong> other ways. For example, if your care provider listens to yourbaby’s heart beat dur<strong>in</strong>g pregnancy, more than one heart beat maybe able to be heard. You might like to ask your care provider aboutthe accuracy of a first trimester ultrasound scan and other ways off<strong>in</strong>d<strong>in</strong>g out whether a woman has a multiple pregnancy.Important to you? Yes No UnsureYou can f<strong>in</strong>d out what position your placenta is <strong>in</strong> by hav<strong>in</strong>g anultrasound scan later <strong>in</strong> pregnancy. You might like to ask yourcare provider about the accuracy of ultrasound scans done atdifferent times dur<strong>in</strong>g pregnancy. You might also like to askyour care provider about your options if you f<strong>in</strong>d out that youhave placenta praevia.Important to you? Yes No UnsurePhoto courtesy of Little Posers Photography37

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