The placenta is the lifeline between a mother and her baby — it supplies oxygen and nutrients and removes waste.
Normally, it attaches to the upper part of the uterus, well away from the cervix. This is called a normal placenta position, and it allows for a smooth and safe delivery.

But sometimes, the placenta implants lower than expected. These are situations where extra monitoring is essential.

🔹 Low-lying Placenta

• The placenta lies close to the cervix but does not cover it.

• In many cases, as the uterus grows in the 2nd and 3rd trimester, the placenta “moves up” naturally.

• Regular ultrasound follow-up is recommended to check its position.

🔹 Placenta Previa

• The placenta partially or completely covers the cervix (birth canal).

• Typical sign: painless vaginal bleeding in the 2nd or 3rd trimester.

• Vaginal delivery is not safe in most cases.

• A planned Cesarean section is usually required.

🔹 Placenta Accreta Spectrum (PAS)

The placenta grows too deeply into the uterine wall and fails to detach after delivery.

Types:

• Accreta → superficial attachment.

• Increta → invasion into the uterine muscle.

• Percreta → extends through the uterus, sometimes into bladder or other organs.

⚠️ PAS is associated with severe bleeding at delivery and often linked to previous C-sections or uterine surgeries.
It requires multidisciplinary care, blood preparation, and sometimes hysterectomy to save the mother’s life.

💡 Guidelines & Recommendations (ACOG / RCOG)

• Women with low-lying placenta at the mid-pregnancy scan (20 weeks) should have a repeat ultrasound at 32–34 weeks.

• If placenta is still low, a final scan at 36 weeks helps guide delivery planning.

• Any vaginal bleeding in pregnancy must be evaluated urgently.

• Avoid digital vaginal examination in suspected placenta previa — it can trigger life-threatening hemorrhage.

Delivery Planning:

• Stable low-lying placenta → may be observed.

• Placenta previa → schedule C-section at 36–37 weeks.

• Placenta accreta spectrum → deliver in a specialized center with senior obstetric, anesthesia, and surgical teams available.

✨ Practical Tips for Mothers

If you have been diagnosed with low-lying placenta or previa:

🔴 Report immediately if you notice any vaginal bleeding, even if it’s painless.
🛑 Avoid heavy lifting, strenuous exercise, or activities that strain the abdomen.
❤️ Sexual intercourse may need to be avoided if you have bleeding or placenta previa.
🩺 Never skip ultrasounds — they are key to tracking placental changes.
🧾 Always keep your medical file with you in case of emergency visits.

🌟 Key Message

Every pregnancy is unique. Early detection, regular follow-up, and the right delivery plan can make all the difference.

With proper care, both mother and baby can stay safe.
We stand by every mother with knowledge, compassion, and preparation. 💙

📌 Hashtags:

#DrRababCares
#PregnancyAwareness
#PlacentaPrevia
#LowLyingPlacenta
#PlacentaAccreta
#SafeMotherhood
#ForestParkHospital
#MaternalHealth

 PMTS / PMS

🔍 Causes & Mechanism

Physical:

Emotional/Behavioral:

 Management

1. Lifestyle & Self-Care

2. Medical Treatment

3. Counseling

After childbirth, many women feel a shift they never expected.

The love is still there.
But something feels… off.

She may feel pain during intimacy.
She may feel disconnected from her own body.
She may feel distant from the person she loves — not because the love is gone, but because something inside her doesn’t feel the same anymore.

🩺 What Really Happens

No one told her that:

• It might hurt to be touched.

• She might feel tight, dry, or even afraid.

• She might pull away when her partner reaches out — not because she doesn’t love him, but because she doesn’t feel safe in her own skin yet.

And then comes the guilt…

• “Why can’t I just be normal again?”

• “Why do I feel broken?”

🧾 Why This Happens

These feelings are not weakness.
They’re common — and treatable.

Possible reasons include:

• Perineal trauma (tears, episiotomy, scar tissue)

• Hormonal shifts (especially while breastfeeding)

• Birth trauma, even in silent forms

• Pelvic floor dysfunction

• Or simply… pure exhaustion

💡 What Actually Helps

✅ Pelvic Floor Physiotherapy – for comfort, confidence, and healing
✅ Lubricants & moisturizers – small tools, big relief
✅ Medical check-up – to rule out infections, scar pain, or hormonal dryness
✅ Open communication – with no pressure or guilt
✅ Time and Kindness – to her body, her heart, and her relationship

Because intimacy isn’t just about the body — it’s about feeling safe, seen, and held… even when you’re still healing.

✨ You’re not broken. 🌿

🌸 Final Thought

You’re just finding your way back to yourself.
Take it one step at a time, with patience and care.

📌 Hashtags:

#DrRababCares
#WomenHealthMatters
#ForestParkHospital

When it comes to contraception, there is no single “best method.”

Every woman is unique — and the right choice depends on health, lifestyle, and personal needs.

Contraceptive methods are divided into three main groups:

1️⃣ Hormonal methods – pills, injectables, implants, hormonal IUD.

2️⃣ Non-hormonal methods – copper IUD, condoms, diaphragm.

3️⃣ Local methods – spermicides, vaginal ring, contraceptive sponge.

✨ Today, we start with one of the most common hormonal methods: Combined Oral Contraceptives (COCs).

🔹 What are COCs?

• Pills containing estrogen + progestin.
• Taken daily, usually 21 days with a 7-day break (or placebo).

🔹 How do they work?

Suppress ovulation.

Thicken cervical mucus to block sperm.

Thin the endometrium to prevent implantation.

✅ Advantages:

Dual role: reliable contraception + therapeutic benefits.

Improves quality of life for many women.

⚠️ Disadvantages

Daily intake is essential.

Side effects: nausea, mood changes, irregular bleeding.

⚠️ Not suitable for , contraindication:

Smokers above 40 years old.

Migraine with aura.

History of blood clots.

. Cholecystitis (Gall bladder disease)

Uncontrolled hypertension.

🔹 Other Medical Uses of COCs:

Cycle Regulation:

• Helpful for women with irregular periods.
• Management of Menstrual Disorders:
• Reduce heavy menstrual bleeding (menorrhagia).
• Relieve painful periods (dysmenorrhea).

Polycystic Ovary Syndrome (PCOS):

• Control irregular cycles.
• Improve acne and hirsutism by lowering androgen levels.

Endometriosis:

Reduce pelvic pain and suppress endometrial tissue growth.

Premenstrual Syndrome (PMS) & PMDD:

Alleviate mood changes, bloating, and discomfort before periods.

Cancer Risk Reduction:

Long-term use lowers the risk of ovarian and endometrial carcinoma.

📖 Guidelines:

According to WHO MEC and ACOG, non-contraceptive benefits are well-established and often considered when prescribing COCs for women without primary need for family planning.