Natural Birth

Placenta previa: Thought you moms would know best

So my friend is pregnant with her 2nd, due in March.  She had a c-section with her first baby, 3 years ago, because the doctor thought her labor went too long.  What happened in the past is the past, but saddens me now because I wish she had known (and I had known) more about natural birth at the time, and natural labor, and that maybe her c-section could have been prevented.

This is concerning because now she has placenta previa with this pregnancy which has apparently "attached to her C-section scar" and "likely will result in the loss of her uterus".  Those are her high-risk, OB-GYN's words as they are related to me.  To me, all of this sounds very negative as things I've read online suggest the placenta moves in most cases.

She is so full of doubt, anxiety, and fear right now.  They want more children and the thought of losing her uterus is really upsetting to her.  She is on restricted movements and such also.

Do you have any advice, words of wisdom, or any knowledge that could help her?  I want to help but don't know what to say.  Would a 2nd opinion be any better?  Is there anything we can try that would help?

Thank you in advance

 

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Re: Placenta previa: Thought you moms would know best

  • Placenta accreta is really serious - if her placenta is growing into her c/s scar, then it's a high-risk situation. Having a low-lying placenta is a different thing altogether, in that the placenta is covering all or part of the cervix. In that case, there is a good chance that it'll move out of the way by the time the woman goes into labor.

    https://en.wikipedia.org/wiki/Placenta_accreta

    I think there is always a chance that it could move up and out of the way, so keeping track of it is a good idea. If she doesn't trust her current OB's diagnosis, she should get another opinion. 

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    DS2 - Oct 2010 (my VBAC baby!)

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  • imagenosoup4u:

    Placenta accreta is really serious - if her placenta is growing into her c/s scar, then it's a high-risk situation. Having a low-lying placenta is a different thing altogether, in that the placenta is covering all or part of the cervix. In that case, there is a good chance that it'll move out of the way by the time the woman goes into labor.

    https://en.wikipedia.org/wiki/Placenta_accreta

    I think there is always a chance that it could move up and out of the way, so keeping track of it is a good idea. If she doesn't trust her current OB's diagnosis, she should get another opinion. 

     Thanks for the information.  I'm not sure if this is the case but will ask her!

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  • imagenosoup4u:

    Placenta accreta is really serious - if her placenta is growing into her c/s scar, then it's a high-risk situation. Having a low-lying placenta is a different thing altogether, in that the placenta is covering all or part of the cervix. In that case, there is a good chance that it'll move out of the way by the time the woman goes into labor.

    https://en.wikipedia.org/wiki/Placenta_accreta

    I think there is always a chance that it could move up and out of the way, so keeping track of it is a good idea. If she doesn't trust her current OB's diagnosis, she should get another opinion. 

    Yep, this.

    Unfortunately, this is one of those far reaching effects of a C/S as it's a complication that can happen with subsequent pregnancies.  I really hope it ends up moving or at the very least that she doesn't end up with a hysterectomy :(  

    Stories like this make me so sad.  THIS is a perfect example of why it's SO important to avoid a C/S to begin with if at all possible.  

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  • imagejunie216:

    So my friend is pregnant with her 2nd, due in March.  She had a c-section with her first baby, 3 years ago, because the doctor thought her labor went too long.  What happened in the past is the past, but saddens me now because I wish she had known (and I had known) more about natural birth at the time, and natural labor, and that maybe her c-section could have been prevented.

    This is concerning because now she has placenta previa with this pregnancy which has apparently "attached to her C-section scar" and "likely will result in the loss of her uterus".  Those are her high-risk, OB-GYN's words as they are related to me.  To me, all of this sounds very negative as things I've read online suggest the placenta moves in most cases.

    She is so full of doubt, anxiety, and fear right now.  They want more children and the thought of losing her uterus is really upsetting to her.  She is on restricted movements and such also.

    Do you have any advice, words of wisdom, or any knowledge that could help her?  I want to help but don't know what to say.  Would a 2nd opinion be any better?  Is there anything we can try that would help?

    Thank you in advance

     

    It sounds like they are talking about placenta previa accreta, not just a plain old placenta previa.  It's true that most uncomplicated placenta previas move on their own by term.  But placenta accreta is a life-threatening condition where the goal is to get everyone through the delivery alive.  So she would need a c/s and very possibly need a hysterectomy and blood transfusion.  I really hope everything works out for her.  


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  • imagenosoup4u:

    Placenta accreta is really serious - if her placenta is growing into her c/s scar, then it's a high-risk situation. Having a low-lying placenta is a different thing altogether, in that the placenta is covering all or part of the cervix. In that case, there is a good chance that it'll move out of the way by the time the woman goes into labor.

    https://en.wikipedia.org/wiki/Placenta_accreta

    I think there is always a chance that it could move up and out of the way, so keeping track of it is a good idea. If she doesn't trust her current OB's diagnosis, she should get another opinion. 

    They are different, but often occur together, especially in moms who have had a prior cesarean.  If you have a placenta previa after a cesarean, your risk of accreta increases significantly, especially after more than one c/s.  Here are some scary numbers on that:

    https://www.ncbi.nlm.nih.gov/pubmed/4011075 

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  • Best of luck to yoir friend. As the others have said, placenta accreta will pose a legit medical emergency. This is really one of those cases where we need to be thankful for all the advances of modern medicine.
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  • Thank you ladies for the support and information!!  So glad we have these boards.
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