PREGNANCY-BIRTH Messages for February, 2002: Re: placenta previa

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Re: placenta previa

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Sat, 9 Feb 2002 12:54:11 -0600 (CST)

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In reply to: Diane: "placenta previa"

At Fri, 8 Feb 2002, Diane wrote: >
>Thanks for previous answers to "loss at 24 weeks". They were great
>answers but it made me think of a few more questions.
>
>History: 1st pregnancy was full term, no problems, c-section. 2nd
>pregnancy ended at 24 weeks gestation, I woke up with bleeding enough to
>soak pajamas and 2 maxi pads within the hour it took to contact MD and
>get to hospital. By the time I got there I was fully dilated although I
>did not sense any contractions. I had an appt less than 48 hrs prior
>and check of cervix (high and closed) because of spotting a few times on
>toilet paper (very light) in the previous day. When MD did the
>emergency c-section, she reported that the placenta started coming out
>first so a vertical incision was also needed to get the baby out.
>
>I have asked my own MD's questions and they have said "we just don't
>know". I saw all the MD's just once, so no one really knew me or my
>case. The only note on US regarding placenta was low anterior.
>
>1. Any ideas on cause?

sounds like an incompetent cervix, in combination with a placenta previa

>2. Does incompetent cervix seem appropriate with the bleeding, fast
>dilation, 2nd pregnancy?

it is consistent

>3. Could placenta previa and the pressure from bleeding trigger the
>body to signal dilation of the cervix?

maybe, but you'd usually feel contarctions

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

Next message: Liz: "Methotrexate/Birth Defects"
Previous message: M. Kelly Shanahan, MD, FACOG: "Re: what are the possiblities????"
In reply to: Diane: "placenta previa"

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