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Does this make me high risk? (long)

I am going to call - but I love ya'll opinions....

So from the beginning - When I was 6 weeks my midwife sent me to the emergency room since I was having cramping and light bleeding, plus pain in my sides when trying to roll over at night. Plus bleeding after sex. They did an ultrasound and for the baby was in the right spot and even had a heartbeat. However, s/he was measuring smaller then they thought s/he should have - 5 weeks instead of 6. Which moved the due date from Jan 30th to Feb 5th. So all seems ok.

Then I had my normal check up - I asked about the differences in due dates - and she didn't seem concerned about it at all (which maybe just a week is not really a big deal?? I don't know.)  She said that she was going to be sticking with the Jan 30th date.

Yesterday while at work I started bleeding. Alot. It was like I was peeing blood, there was a stream of it and it just kept coming. I had no cramping, but so much blood. I of course freaked out and ran out of work straight to my doctor. They did another ultrasound and, YAY, By some miracle, I am still pregnant!! I thought for sure that I had lost the baby. I have never seen so much blood. The baby is still there with a beating heart, even saw her give alittle wave with her tiny hand (I'm rooting girl by using "she"). Turns out that the placenta is not covering the cervix completly, so I am on bed rest to help stop the bleeding and then taking it super easy for two weeks, and after that I am to not over exert myself since the baby could pretty much fall out if I do anything crazy. And no sex at all.

Does this make me high risk? How long should it take for the placenta to grow big enough to cover the cervix? How is it possible to loose that much blood, but not the baby? Is it bad that she's measuring small? How will I know if I'm in the "safe" zone with out another ultrasound - will I get anouther one to check it out?

I know, I know - I need to cal (and will)l, but I need your opinions and stories and comments, too. Are there any other questions I should ask that I am forgetting? I'm still a little freaked I think.... Oh, and I'm about 11 weeks.... Going by the Jan 30th date.

Re: Does this make me high risk? (long)

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    Btw, what you don't want is the placenta covering the cervix. When it is low lying and close to the cervix it is called placenta previa or partial placenta previa if it's partially covering it. I say yes, this does make you higher risk than a normal pregnancy. It's still early, it could move up as the baby grows.With my daughter I had early diagnosis of partial placenta previa, and a later u/s showed it had resolved, I never had any bleeding though. No sex or anything inserted into the vagina is important.
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    If it were me, I'd make an appointment with an MFM immediately.  There is no way I'd entrust my care, and that of my unborn child, to a midwife under these circumstances.  
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    It is bad if the placenta is covering the cervix... not good. 
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    imageSunshineMuffin:
    If it were me, I'd make an appointment with an MFM immediately.  There is no way I'd entrust my care, and that of my unborn child, to a midwife under these circumstances.  

    I second this, I am also a bit surprised that your midwife didn't immediately at least refer you to an OB. 

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    I would agree that you need to see an OB

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    jodyrmjodyrm member

    imageSPerry0376:
    It is bad if the placenta is covering the cervix... not good. 

    Um yeah this. The baby isn't going to 'fall out' either. 

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    imagejodyrm:

    imageSPerry0376:
    It is bad if the placenta is covering the cervix... not good. 

    Um yeah this. The baby isn't going to 'fall out' either. 

    Bad choice of words on my part, I know she won't "fall out". And no, I won't even bring up a trampoline joke right now. I am scared shiitless about loosing the baby and don't care, either. Thanks. 

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    So IS the placenta covering the cervix right now, or no? If it is, it still has lots of time to move and grow out of the way. If it isn't covering the cervix, as it should not be, it could be something else causing the bleeding. It could be a subchoronic (spelling?) bleed and a special ultrasound and probably highly trained technician to spot that.
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    You have placenta previa, google it.  Usually the placenta moves to the correct spot as you progress in the pregnancy (not over the cervix, thats where it is right now). 

    I'm not sure if its technically high risk, but I'm sure they will keep an eye on you until it resolves itself.  Its a big problem if it stays that way prior to delivery.

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    What you have is partial placenta previa. I had a complete placenta previa with my DD until about 26 wks. This does make you a little higher risk than normal, however the chances of the placenta moving out of the way are pretty high, especially since it does not cover the cervix completely.

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    imageFreyaWin2382:

    imageSunshineMuffin:
    If it were me, I'd make an appointment with an MFM immediately.  There is no way I'd entrust my care, and that of my unborn child, to a midwife under these circumstances.  

    I second this, I am also a bit surprised that your midwife didn't immediately at least refer you to an OB. 

    I don't see why a midwife wouldnt be able to monitor this situation? It sounds like she might possibly have only partial previa and this early on there is a good chance it will move. Midwives are highly trained- they can do everything an OB does except c-sections. Obviously high-risk or maternal fetal medicine OB's do have a different skill set but placenta previa is a somewhat common issue especially this early in pregnancy. Now if it turns into complete previa or doesnt move as her pregnancy progresses than the care would need to be transferred b/c having previa of any degree near delivery time= c-section (again, OP, don't freak out it has TONS of time to move and usually does!). In the meantime the only thing an OB would tell her would be what the midwives said- pelvic rest and monitoring to measure the position and degree of previa. Hang in there! I'm sure everything will be fine! 

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    imagelildevil968:
    What you have is partial placenta previa. I had a complete placenta previa with my DD until about 26 wks. This does make you a little higher risk than normal, however the chances of the placenta moving out of the way are pretty high, especially since it does not cover the cervix completely.

    This.  All of this.  

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