VASA PREVIA...?! :-( How is your doctor managing your vasa previa?
cmblau
member
Hello, I was recently diagnosed with vasa previa at 20 weeks. Feeling scared, concerned, lost, but so thankful it was diagnosed. I am now 22 weeks and have seen a Maternal Fetal Medicine specialist and have had a vaginal ultrasound to confirm the diagnoses. My OBGYN/MFM doctor have me on 100% pelvic rest, no lifting over 20 lbs, and no exercise. I will have vaginal ultra sounds every two-three weeks with my MFM doctor and monitor the baby and normal checks with my OB ever 2-3 weeks as well. I will start steroid injections at 28 weeks for the babies lung development, and have a scheduled C-section by 35-36 weeks. I was also told that most woman will notice light bleeding as they grow, because more pressure will be put on the cervix and placenta, if I notice and spotting or blood tonight for example, I will be admitted to the hospital for 100% monitoring until my C-section. Just wondering if this sounds like my doctors are doing the right plan for a successful pregnancy with vasa Previa?
Re: VASA PREVIA...?! :-( How is your doctor managing your vasa previa?
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
Here's the short version: I was diagnosed at my anatomy scan at 18 weeks with placenta previa, succenturiate placenta with velamentous cord insertion, and vasa previa. The MFM who read the scan explains that I would have increased ultrasound monitoring (in 8 weeks!) and an early c-section. He told me the condition would not go away/change. At my next appointment, my ob put me on pelvic rest, told me no lifting over 10 pounds, and no exercise.
Fast forward to 26 weeks. I had a second scan and the ultrasound tech (I didn't get to talk with the MFM), said the placenta previa was now low lying placenta and no vessels were visualized within 2cm of the os. At my next ob appointment, my dr said everything was clear and I was no longer high risk. I was not comfortable with this and told her I wanted to deliver at a hospital with a nicu by c-section because of the risks associated with vasa previa. She told me she could not do either of these things and believed a c-section to be "medically unnecessary".
I've consulted by email with a retired ob. She agreed with delivering at a facility with a nicu and strongly recommended a c-section no later than 37 weeks. Unfortunately, she lives out of state and couldn't recommend anyone where I live.
I'm getting a second opinion with another ob on Wednesday. Fingers crossed it goes well.