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Q: Vaginal Birth After Having Placenta Previa And Premature Son
asked by: Twinkie on August 30th, 2004
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I am wanting to have a second child, but my husband "captain morgan" is scared out of his mind for us to have another child after what I went through during the birth of our son. I'm 38, and had ki three years ago. He was delivered by c-section prematurely at 28 weeks because I had placenta previa.

I would like to try to have a vaginal delivery this time. Is that possible after the complications I had with my son?

Any help would be much appreciated.

"twinkie"
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Cindy63
replied on August 30th, 2004
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I had a son when I had placenta previa but he was still born. I later had a beautiful daughter and no problems or complications whatsoever. I did not ever have a c-section though. I don't think you should worry about placenta previa at all for your next child. My daughter is now 17 years old.
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babytoon34
replied on August 30th, 2004
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I had placenta previa at three months in my pregnancy and had to be on bed rest for three months. But......I had a normal delivery, and a beautiful little girl who, by the way, will turn 5 in nov. Just remember that every baby is different, and the same goes for the pregnancy. I hope everything works out for you. Always remember this too, god works in mysterious ways, and if you are meant to have another blessing in your life, he will surely be the one to give it to you. Put it in his hands, and dont worry about the rest. Good luck!!! Wink
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linuxChique
replied on August 31st, 2004
Extremely eHealthy
I dont' believe placenta previa is reoccurring, so I think you're fine.
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lauren22
replied on August 31st, 2004
Active User, very eHealthy
Babytoon....You had a vaginal birth with placenta previa? Or did you just mean normal (everything went well) c-section?

Yeah I agree erin...Having placenta previa once doesnt increase your chances of having it again. You will probably have a "normal" pregnancy. So, you could have a vaginal birth unless your doctor is againt vbac. Hope that helps!
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babytoon34
replied on August 31st, 2004
New User
Yeah, I have a vaginal delivery, natural and all. All things are possible. Keep me updated Smile
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Kia
replied on September 1st, 2004
Moderator
I didn't think that was possible Confused
Isn't placenta previa where the placenta grows very low down and at least part over the cervix?
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Kia
replied on September 1st, 2004
Moderator
Placenta previa, the implantation of the placenta at least partially covering the cervix, occurs in about one in 200 pregnancies. There are actually three types of previa.
Complete previa where the cervical os is completely covered. Partial previa where just a portion of the cervix is covered by the placenta. And the marginal previa that extends just to the edge of the cervix.

Diagnosing a previa is usually made when there is painless bleeding during the third trimester. If you are bleeding it is unwise to do a vaginal exam until an ultrasound has ruled out a placenta previa. However, there is a 10% false positive diagnosis rate, usually because of the bladder being over full. There is also a 7% false negative rate, typically caused from missing the previa that is located behind the baby's head.

Other reasons to suspect a previa would sometimes be premature contractions, abnormal lie (breech, transverse, etc.), or the uterus measuring larger than you should according to dates.

During second trimester ultrasounds, done in some places on a routine basis, will show that there are many more previas diagnosed at this stage. Typically at 16 weeks the placenta takes up 25-50% of the surface area. Also the third trimester brings a growth of this lower uterine segment, that out flanks the growth of the placenta. For these reasons, while 5% of pregnancies are diagnosed with complete previa in second trimester ultrasounds will see 90% of them resolved by term and while 45% of pregnancies are diagnosed with marginal previas will see 95% resolved at term. A follow up ultrasound will be done, and as noted above the vast majority of previas are not seen.

True placenta previa at term is very serious. Complications for the baby include:


problems for the baby, secondary to acute blood loss
intrauterine growth retardation due to poor placental perfusion
increased incidence of congenital anomalies

risks for the mother include:

life-threatening hemorrhage
cesarean delivery
increased risk of postpartum hemorrhage
increased risk placenta accreta (placenta accreta is where the placenta attaches directly to the uterine muscle.)

placenta previa, once diagnosed, will usually mean bed rest for the mother, frequently in the hospital. Depending on the gestational age steroid shots may be given to help mature the baby's lungs. If the bleeding cannot be controlled immediate cesarean delivery is usually done, regardless of the length of the pregnancy. Some marginal previas can be delivered without cesarean surgery, the other types of placenta previa preclude vaginal delivery.
There are a few predisposing factors. The following can increase your risk for placenta previa:


advanced maternal age
increased parity (number of pregnancies)
previous uterine surgery (regardless of incision type)
placenta previa can be a very scary diagnosis for all involved. The period of time from the diagnosis to the delivery are often periods of great worry and fear. There are support groups for bedrested mothers and even some for mothers with placenta previa. They are available to help you through this period of time.
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babytoon34
replied on September 2nd, 2004
New User
Yeah, good info. Kia. I had it at around the 16th or 17th week. I was on bed rest for two weeks in the hospital, and was released with strict orders at home. I had to be bathed in my bed and use the restroom while laying in the bed. It is a traumatic thing, but if you follow Dr.S orders everything should work out fine. Smile
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Kia
replied on September 3rd, 2004
Moderator
It does say in my baby book, that although placenta previa may appear becasue of the sudden grow of the lower part of the uterus in the last couple of weeks this may be enough to "free up" the cervical os.

Babytoon, I apologise, I hadn't read further on about how this may change, only about it complete placenta previa covering the cervix and therefore making vaginal birth non-viable.
Please accept my apology Rolling Eyes
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babytoon34
replied on September 3rd, 2004
New User
Hey kia!!!! What apology? I never took it that way, most people don't futher their research unless in happens to them. That is okay. Wink I am glad to have heard from you. Thanks!!!
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Kia
replied on September 4th, 2004
Moderator
If I can prove me wrong, i'm not too proud to say Embarassed
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babytoon34
replied on September 4th, 2004
New User
I wouldn't worry about it, we all have out times. But, I do have a question. I have been ttc for a while, and this time I am not sure, but think I might be preg. I am late for my period, with the exception of spotting. I started spotting on mon. Then nothing all that night and tues. Then on wed, I started again, and nothing that night or thurs., fri. Started again, but not so that I had to wear a pad, just when I wiped. Today (sat.) I started spotting again and it was a little heavier, now, tonight I have nothing. I thought at first it was the implantation bleeding, but now, not so sure. One thing is for sure, I have never had a period like this. Lol this is crazy!!!! Rolling Eyes if you or anyone you know happens to have an answer, I would like to hear it. Thanks. Hope to hear from you soon.
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Kia
replied on September 5th, 2004
Moderator
I understand spotting is common in early pregnancy, have you taken a hpt? Smile
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babytoon34
replied on September 11th, 2004
New User
Hey kia, sorry it took so long to reply. I started bleeding heavy on sun. The 5th, and am still bleeding. I am sure it is just a weird period. No baby for me this month. Send baby dust please. Thanks!!!! Wink
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Kia
replied on September 12th, 2004
Moderator
Awwwwww, honey, I am so sorry.


Lots n lots of baby dust your way, and big hugz too <<<<<>>>>>
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