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Expectant and Postpartum Moms
Reply to "Switching OB for complete placenta previa "
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[quote=Anonymous]I had complete placenta previa and delivered at Sibley. If you go into preterm labor you will he sent to Georgetown for the NICU. You will also he sent there if you have any bleeding events—I spent a day or so there at 27 weeks after a bleed. They let me go home but only because I could promise to have someone with my 24-7 and that I could be st a hospital within 20 minutes. And total bed rest. The placenta does not “move”—it is fixed. The uterus moves as it grows. The question really is where it is affixed. At my 17 week appointment it was clear that the cervix was right not the middle of the placenta so no matter how much the uterus grew, it was always going to be totally covering the cervix. You goal here should be to avoid any bleeding event, as each bleed is usually worse. The doctors says you get one “sentinel bleed”—like a warning before the problematic bleeds. This means no sex, no exercise (not even yoga), no lifting anything, and start miralax now (constipation will often lead to a bleed from pushing to poop). Also hydrate like mad—even minor dehydration increases uterine irritability which can lead to bleeding. That’s the best way to avoid bed rest. The stats on complete previa are pretty good nowadays so don’t be too scared—you just need to take it seriously. Also, I guess I should say that a lot of u/s techs and even doctors misdiagnose a partial as a complete, and don’t necessarily know the difference. When I saw the specialist at Georgetown, he sort of scoffed at my OB’s diagnosis until he saw for himself how extreme mine was. They can get a better view if they do a transvaginal u/s instead of just transabdominal. Good luck! My previa baby is sitting with me playing with our dog right now. We’re so lucky we live in a world of modern medicine, where this is just a minor bump in the road rather than the death sentence it was 100 years ago.[/quote]
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