High-Risk Pregnancy

Vasia Previa, With marginal Placenta Previa, Anyone else? Questions for those who went through it.


I was diagnosed, with Possible Vasia previa and marginal to complete Placenta previa at 14 weeks 1 day, I had a bright red bleed which stopped, but when I went in to get checked they could not find fetal heart tones so they ordered an ultrasound .  The Doctor Told me that I also have a marginal insertion of the cord which is most likely the cause of the vasa previa.  I feel grateful that they found it early so we have time to plan, and we are keeping faith and fingers crossed that it will resolve.

The Doctor Said there was evidence of fetal blood at the base of the cord, but that baby looked good and strong.  Actually measured a week ahead of where we thought we were.

I guess my basic question is what can I expect? I am scared of having another NICU baby, DD was born Blue at 39 weeks 3 days, after a normal and uneventful pregnancy and aspirated a TON of fluid , and they had to resuscitate her, she spent 10 days in the NICU (with the first 3 only giving us a 30% chance of survival) and that is an experience that forever changed my Husband and I.  I know if this does not resolve we will probably end up with a late term preemie, so we can expect to spend more than 10 days in the NICU.  I guess I am just looking for experiences, I am trying to stay calm until we have the 20 week to confirm diagnosis and plans will be made from there, but I am very nervous about this and have not slept well since we were diagnosed.

also what are he chances this will resolve, should we be preparing ourselves for it not to so we are less surprised when they do the follow up?  What is going to to happen if it doesn't resolve?
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Re: Vasia Previa, With marginal Placenta Previa, Anyone else? Questions for those who went through it.

  • I had vasa previa, velamentous insertion of the cord and a low lying placenta. This was discovered at my 20 week ultrasound. I was admitted for hospital bedrest with continuous monitoring at 32 weeks and had an elective c section at 34 weeks. This is pretty much in line with guidance from the international vasa previa foundation. LO was in the NICU for 15 days, and is now over 3 months old and doing great. I wish you the best. VP is very rare and many OBs see only one or two cases in their entire career. I'd see an MFM at a large medical center if you are able. I got a ton of misinformation until I was referred to an experienced MFM and found that I really had to advocate for myself. The IVPF also has a very helpful message board which is a good resource. Keep in mind unlike placenta previa, true vasa previa very rarely moves. But, the good news is that the condition is very easily managed with an experienced doc. GL!

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    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

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  • DonniesgrrlDonniesgrrl member
    edited September 2013
    I had vasa previa, velamentous insertion of the cord and a low lying placenta. This was discovered at my 20 week ultrasound. I was admitted for hospital bedrest with continuous monitoring at 32 weeks and had an elective c section at 34 weeks. This is pretty much in line with guidance from the international vasa previa foundation. LO was in the NICU for 15 days, and is now over 3 months old and doing great. I wish you the best. VP is very rare and many OBs see only one or two cases in their entire career. I'd see an MFM at a large medical center if you are able. I got a ton of misinformation until I was referred to an experienced MFM and found that I really had to advocate for myself. The IVPF also has a very helpful message board which is a good resource. Keep in mind unlike placenta previa, true vasa previa very rarely moves. But, the good news is that the condition is very easily managed with an experienced doc. GL!
    Thank you!!! from what I have been reading I saw that the initial diagnosis is either 100% right or 100% wrong, The Placenta Previa is not my Biggest concern right now, My H and I have been doing a lot of reading about the VP and have tons of questions going into the follow up on wednesday.  I am really hoping that when we have our 20 week they will see that it wasn't VP at all, but I have read that if the initial diagnosis is probable than most times it is a true case of VP.  I Have decided that if it is I am going to transfer docs and Hospitals, I love my Doctor but I would really love to be at the High risk Hospital even though it is a little farther away, but it is also connected to Children's and has a level 3 NICU in it.  So the baby and I would not have to be separated.  Thank you for all the info.  I will keep you updated!
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