Placenta abruption

[Anonymous]

I agree with above poster. Sending hugs and good wishes.

[Anonymous]

Anonymous wrote:I would get to an MFM asap. An MFM should determine whether you should be at home or at the hospital. Abruptions are serious. Honestly, I don’t know that I’d stay at home, I would go back to the hospital and insist on being admitted. Get a steroid shot for baby’s lungs, have them monitor you and if MFM when they can see you doesn’t like what they see, they can order an immediate c section. If you’re nearly 34 weeks, there’s no reason for you to stay pregnant under these circumstances. Be your own advocate. Sending you courage.

Thanks I mentioned some of this above.

I've been being followed by mfm and weekly bpps since 32 weeks. Our 32 week bpp was 8/8. When we we went to triage on Monday we were given steroid injections. One Monday, and the second dose Tuesday. The MFM team followed us at the hospital. Actually the head of the mfm team was the one on call week. They met with us every day Monday- Friday and ultimately were the ones who discharged us. They kept us an extra day to give me some iron and said baby hasn't been distress all week.

My ob was on call Monday when we went in and she had us sign all the paperwork for a transfusion and emergency c. But then baby was stable and MFM monitored us Mon night- Fri afternoon.

I asked to stay. But I wasn't actively bleeding anymore. I really bled at home and passed the clot and then the pad I had on when I got to triage was 30% saturated. Other than that I spotted the entire week at the hospital. And after Wednesday it was all brown. I think they felt comfortable with that plus Tuesdays bpp scan and then kept me until Friday.

I don't know how else to advocate for her at this point. we are going in tomorrow for a bpp and I'm going to call in the am and insist someone from mfm see us. We use the faculty practice for the hospital we went to so there is crossover between the Drs and mfm team

[Anonymous]

Anonymous wrote:

Anonymous wrote:I would get to an MFM asap. An MFM should determine whether you should be at home or at the hospital. Abruptions are serious. Honestly, I don’t know that I’d stay at home, I would go back to the hospital and insist on being admitted. Get a steroid shot for baby’s lungs, have them monitor you and if MFM when they can see you doesn’t like what they see, they can order an immediate c section. If you’re nearly 34 weeks, there’s no reason for you to stay pregnant under these circumstances. Be your own advocate. Sending you courage.

OP said they did all these things. They gave her the steroid shot. They admitted her. They monitored her around the clock and did multiple scans. She mentions having seen MFM as well. Don't further traumatize her. She did everything you just told her she needs to " do asap" and they told her she was safe to be at home at the moment.

That being said, OP, I'd call your OB in the morning for an appointment to discuss everything further, including your anxiety, and see what the best plan for you is. If you aren't working and don't have other kids at home, can you stay in an airbnb close to your hospital for a few weeks? No one is going to advocate for you to have a c section at 33 weeks unless the baby is in distress, he/she is not done cooking yet and every day in utero gives him/her a greater advantage for full health.

Thank you for this. Truly..

We will be 34 week on Wednesday and I'm hoping to get her that far. I know they wont sign off unless she's in distress. I'd love more clear instructions on non bleeding symptoms tomorrow. Hopefully I can get someone to examine me or talk besides the tech doing the bpp scan.

We can't afford it. We looked at some Airbnb's nearby and it's so pricey. Especially with me not working now. I work for myself and had planned to keep working through the mid/end of Aug. I also don't get paid any leave.

We do have a hospital nearby that has a level 4 NICU and labor and delivery wing if things seemed really bad that we could get to quicker. The mfms at our hospital actually said if actively bleeding just go there and they could always transfer us if stable. It's just knowing when to go in. Because we had zero warning or pain with the bleeding on Monday. I thought my water broke and then I saw when I pulled my pants down.

And now it's hard to distinguish gas/pregnancy pains or just the uterus growing up into my ribs. Baby is also breech now so she feels different then when she was head down.

Hopefully I can get someone on the phone asap in the am

[Anonymous]

OP I'm so sorry you are dealing with this stress. We also did IVF and I know the feeling and worry that something is going to go wrong right at the end. We had a different scare with my first (now he's a kid!) and I just felt so scared and helpless.

With my second we had an issue that required monitoring every few days and like you I kept thinking and saying "why can't we just deliver the baby?" Not in a flippant way as my first was a premier and in the NICU so of course it's not what I wanted, but that seemed less scary than baby being inside and having no idea what's happening. Long story short, no they won't deliver baby early unless there is an absolute need, there are benchmarks for every issue. But do manie sure you feel you are being taken seriously - I felt I was in light of the monitoring and understanding what exactly they were assessing.

Good luck to you these next few weeks!

[Anonymous]

what hospital is this? my sister had hospital bedrest when she had early labor at 23 weeks with plan to stay there for as long as possible (but delivered a week later) but that was 11 years ago, not sure if that's still considered a normal practice. (though thank god it was given they came so shortly after being admitted)

[Anonymous]

Anonymous wrote:what hospital is this? my sister had hospital bedrest when she had early labor at 23 weeks with plan to stay there for as long as possible (but delivered a week later) but that was 11 years ago, not sure if that's still considered a normal practice. (though thank god it was given they came so shortly after being admitted)

It's different with early labor and you're water breaking. Pprom or you're water breaking early can led to infection so they usually hospitalize you until an indication date or spontaneous labor

[Anonymous]

You need to get straight forward answers about the pros and cons and risk of benefits of delivering now to both you and baby versus waiting until 36/37 weeks.

There's are likely significant medical reasons they are keeping her in there and you need to keep that in the forefront of your mind.

While medicine has advanced so much you still have a 34 weeker and that brings its own risks and benefits.

[Anonymous]

OP, I had a 32 week preemie. Please hold on as long as you can to your baby... mine spent 2 weeks in the NICU and had a global developmental delay (and ADHD and ASD, which are not directly due to his prematurity, but which are associated with premature births).

I'm a worrier by nature and deeply sympathize with your anxiety. Please trust that you WILL have time to get the hospital safely if anything happens, and that they WILL take care of your and your baby.

Sending you lots of hugs. Keep us updated.

[Anonymous]

Anonymous wrote:

Anonymous wrote:what hospital is this? my sister had hospital bedrest when she had early labor at 23 weeks with plan to stay there for as long as possible (but delivered a week later) but that was 11 years ago, not sure if that's still considered a normal practice. (though thank god it was given they came so shortly after being admitted)

It's different with early labor and you're water breaking. Pprom or you're water breaking early can led to infection so they usually hospitalize you until an indication date or spontaneous labor

Interesting... no water breaking just contractions and dilated.

[Anonymous]

Statistically 34 weekers have the exact same long term outlook as 40 weekers, which is why actual high risk patients almost always deliver or at minimum prepare to deliver at 34 weeks (I’m one of them). I wouldn’t be worried at all to deliver at 34 weeks but I assume your doctors don’t view you as high risk enough. That’s a conversation you need to have with them.

[Anonymous]

Anonymous wrote:Statistically 34 weekers have the exact same long term outlook as 40 weekers, which is why actual high risk patients almost always deliver or at minimum prepare to deliver at 34 weeks (I’m one of them). I wouldn’t be worried at all to deliver at 34 weeks but I assume your doctors don’t view you as high risk enough. That’s a conversation you need to have with them.

That's good to know. They said we are taking it week by week. The first goal is to get to 34 weeks. And if no additional bleeding and she's still not in distress aim for 36-37.

It's just the anxiety of being home while we wait to get here. Thankfully she's not in distress with the abruption but we also know that can change at any moment and we have no warning.

[Anonymous]

I just had a 34 weeker. She’s doing great! It will be okay. Let me know if you have any questions.

[Anonymous]

I had a chronic abruption and lived in the hospital. My room was the closest one to the OR, and I had a heplock at all times so that I could have an emergency c if I needed one. They told me that they could go from my yelling/pressing the call button to baby out in 4 mins, if needed.

It wasn’t fun to be in the hospital, but at least I was safer.

[Anonymous]

I’m so sorry you’re going through this OP. I had a friend who had a partial than complete abruption. Baby was born at 27 weeks and is now a very healthy and developmentally normal 1 year old. I hope you do not need to deliver very early, but the odds are very great that your baby will be just fine if he comes now. Praying for you.

[Anonymous]

Anonymous wrote:I just had a 34 weeker. She’s doing great! It will be okay. Let me know if you have any questions.

Thank you. Hope you are doing well. Glad to hear she's doing great! We are 34 weeks tomorrow and see mfm again on Friday. So I'm hoping we get more of a plan even if it is still taking it week by week