Vasa previa gone?

SarahS06

Hi ladies - long time lurker, first time poster.

I was diagnosed with placenta previa, succenturiate placenta with velamentous cord insertion, and vasa previa at the anatomy scan at 18 weeks. It was done at a facility with MFM on staff. The MFM who read my ultrasound gave the diagnoses and explained what everything meant. I went back at about 26.5 weeks for a second scan. The MFM on staff (not the same one I saw) said the placenta previa and vasa previa are resolved. 

I saw my OB today and she said I am no longer high risk and can deliver at my original hospital - which does not have a NICU. I'm confused and scared about what all of this means. I worked with a reproductive endocrinologist to get and keep this pregnancy and have had 3 losses at various stages in the last 16 months. I'm sure I'm more anxious because of these losses. 

In an attempt to be sure, I've requested appointments with high risk OBs in other hospital systems in my city and sent the first MFM a message asking for the person he would recommend for a second opinion. 

Has anyone had VP resolve and delivered without complication? Does anyone have any recommendations for the Indianapolis area? I'm really worried that my little girl won't make it and that is a lot of stress!

banfrog

With my 3rd I had a velamentous cord insertion and there was concern about vasa previa. From what I understood the placenta can shift around a bit. By the time of my  induction vasa previa was no longer a concern and I was able to have a vaginal delivery. I was induced due to cholestasis (unrelated to this issue) but delivery was uneventful aside from the fact he was in a hurry. I definitely think getting a second opinion to be certain is worth the peace of mind.

SarahS06

Thanks, @banfrog. I'm so glad to hear things worked out well for you. I'm seeing another ob for a second opinion next week. I also contacted my friend's MIL, who is an ob and just retired. She was very validating and explained how she would handle the case as well as ways to address my concerns with my ob. I did and my ob basically told me she would not be able to deliver at a facility that has a nicu nor would she be okay with a c-section because, in her view, it was not medically necessary. I told her I was going to seek a second opinion, just to be sure we had the safest plan possible. Her response was that she would happy to transfer me, so maybe that's a sign.

banfrog

@SarahS06 Just hoping that your appointment for a second opinion went well.

SarahS06

Thanks @banfrog. 

Update: The second MFM did not see any sign of placental abnormality. Like none. He even thinks I may not have succenturiate placenta - it appears to separate in the lower half but looks connected at the top. He seemed to take the referral seriously and asked the ultrasound tech to repeat the ultrasound to bet a better view of the cord insertion to be sure there was no VCI or vasa previa. He was particularly puzzled that there was no sign of abnormality and asked who the doctor was that originally diagnosed me. He seemed surprised when I told him and said he trusts that doctor's diagnosis. So... it resolved? It never was there in the first place? I'm not really sure, but the second MFM said he had no concerns about the placenta or the baby's growth and development. I see my ob tomorrow but for tonight, this is good (but confusing!) news.

banfrog

@SarahS06 That's good to heard.