There are many gynecologists who, from the first consultation, worry patients by telling them that the placenta is underdeveloped or that it was placed out of place, but the truth is that just as the baby develops little by little, the placenta also develops, therefore That is until the second trimester that we can assess if there is a true complication such as hematomas, placenta previa or abruption of the normal placenta.
Hematomas are like small bruises or accumulations of blood that on ultrasound look like dark bags. It is very common for them to appear because the placenta grows and sends out roots to absorb nutrients. Some of these roots or blood vessels form well and others do not. Bruises develop and usually disappear, but it is important to monitor them with ultrasound to ensure that they do not grow and if so, control them with medication.
Placenta previa can only be diagnosed after week 24 and is a placenta that blocks the birth canal partially or completely. Depending on how severe the obstruction is, you can proceed with normal delivery or opt for a Caesarean section.
Placental abruption is a more severe complication, frequently caused by heart problems, hypertension, preeclampsia, fibroids, or strong blows to the abdomen. The first line of defense is usually to stay on bed rest, although in extreme cases it may be necessary to advance delivery.