Re: First Trimester Bleeding with Twins

From: Bernard Cristalli (bcrist@club-internet.fr)
Fri Mar 20 23:42:02 1998


Chas Dow, MD wrote: >
> I'm a cardiovascular surgeon and my wife is pregnant with twins from
> IVF. She's about 10 weeks now and has excellent looking fetal movements
> but has had persistent spotting and occassional bleeding for 3 weeks
> now. Her sono showed the most inferior fetal placenta to be partially
> covering the os of the cervix but the cervix was closed andthe canal
> looked good. Can the diagnosis of placenta previa be made this early in
> pregnancy or is it too early to tell. What is the prognosis. Thanks in
> advance for your assistance in this matter.
>
--
Charles,

At 10 w. the placenta is not yet individualized. Early bleeding like that is very frequent and does not alter the prognosis. But a miscarriage is always possible especially in the next 4 or 5 weeks.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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