TTC after Placental Abruption @25weeks

LizB08 · May 2012

Hello everyone!

My DS was born via emergency cesarean at 25w3d in 2009. After 3 mos in the hospital he came home and is now a happy/crazy preschooler.

DH and I are planning to start TTC later this summer and I was wondering if anyone had any experience with pregnancy after an abruption? For some reason I haven't found an OB willing to talk to me about this situation so far.

Although my original OB said how serious it was that this issue be brought up when I get pregnant again I have changed OBs and the new one barely spoke when asked about it. She just brushed it off. (I'm fairly sure I'm going to need to find a new OB before this is all over).

HELP!?

christina06 · May 2012

I think a prior abruption does increase the odds that you will have another abruption in a subsequent pregnancy by like 10% and the regular odds are somewhere around 1%. But it doesn't guarantee that it will or won't happen.

Unfortunately, I've had abruptions with all three pregnancies without an explanation but not a full abruption requiring immediate delivery.

Do they know what caused the abruption? If not, have they ruled out any clotting disorders or uterine abnormalities? Might be worth it to see a high risk doc or hematologist/oncologist if you haven't been tested and if there is something then you can go in prepared with a treatment/action plan to help you get to term.

If they don't find anything, they'll likely just monitor you more closely with some more ultrasounds to check on baby's growth and condition of the placenta.

Best of luck.

LizB08 · May 2012

I'm planning to request testing to clotting issues and I know that uterus is retrograde (backwards). No idea if that retrograde would cause a placental issue. I suppose anything is possible since they don't seem to know a lot.

Thanks! Sometimes it just helps to know you aren't alone, as much as I'd never wish something like that one someone else.

MaggieF516 · May 2012

I don't have any first hand knowledge about placenta abruption, but my mother had it with me (was born 8 weeks early) and she went on to have normal pregnancies/deliveries with both of my brothers with no placenta issues. Good luck!!

figgs0831 · May 2012

I was lurking, but figured I would share my experience with this. My first son was lost due to an abruption and pPROM. With my second son I pPROMed also, but went on to have yet another abruption.

I would highly suggest that they run a blood panel on you to rule out any clotting disorders. After our 2nd loss, we discovered that I do infact have a clotting disorder. The pathology on both placentas even showed signs that there were clotting issues. It was just too bad that we didn't have the first report until after we lost our 2nd son. We possibly could have prevented what happened.

So, all pregnancies going forward, I will have to be on lonevox (an injectible blood thinner) and folgard. This can be a serious issue, so if your new doctor is not taking that seriously.... I would definitely find someone new. You may even qualify to see an MFM. Call your local hospital and ask if they can recommend a good doctor in your area.

jennbent · May 2012

I'm another one who doesn't have personal experience with it, but...my mom lost a baby due to a placental abruption sometime during her 6th month...and she went on to have my sister and had no issues whatsoever!

lizal · May 2012

I had an abruption at 31 weeks which resulted in the early birth of my son. They don't know why I had the abruption and never tested me for clotting disorders (wish they had now). I am pregnant again and am being seen every 2 weeks for a cervical check and ultrasound because I also have an irritable uterus.

I switched doctors this pregnancy at 13 weeks because my first doctor brushed the whole thing off. My new doctor is very take charge and even though she can't prevent me from abrupting again, at least she is willing to listen to me. I think you should find a new doctor because an abruption isn't something to mess with.

*LrCg* · May 2012

First, I am so happy that your son and you are both healthy!! I had an 80% spontaneous placental abruption at 37 weeks- the doctors said it was nothing short of a miracle that we both survived it. It was my 2nd pregnancy and my first pregnancy was normal (except that I miscarried a twin during the first part of my 2nd trimester). It was my doctor that encouraged me to test for the MTHFR because the causes of placental abruption- high blood pressure, poor eating habits, drugs, etc- didn't fit me. Even if we didn't want more kids, she still encouraged it. I got the test and sure enough it was me and so it explained a lot to us (it could also have been the reason for the miscarriage). She also encouraged us to meet with an MFM specialist prior to deciding whether we wanted more kids. We always planned on more kids but it was a very traumatic experience and a very traumatic birth. We also found that people we spoke with in support groups or other people we met that it had happened to, never wanted to it experience it again. So we met with the MFM and it was suggested that should I ever want to get pregnant again I should go on certain types of supplements at least 6 months prior to conceiving and during the pregnancy. There was also a suggestion of diet change- limiting white carbs to reduce inflammation. They also said that they would encourage more ultrasounds (with my previous pregnancies I only choose to do a 20 week ultrasound- I prefer to limit tests) to make sure that the placenta is forming properly and so to make sure there are no clots showing. These ultrasounds would have to be done at the MFM office because its a higher level ultrasound. So currently I am 12 weeks pregnant and so far so good. We did say that if everything works out, this will be our last. For us, although we adore kids its just a big risk, we prayed a lot about it before doing it. I wish you the best of luck and although there is good odds it will never happen to you again- there's only 1% chance you'll get a placenta abruption and after you've had one it goes to 10% and although 10% isn't a lot, when you were that 1% it seems pretty high. I would encourage you to find a doctor that takes this serious.

babylossmama · June 2014

Anyone have new status updates on this old post? I'm in a similar situation and would love to hear how all your pregnancies turned out!

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TTC after Placental Abruption @25weeks

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