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What is the risk of placental abruptions recurring?

From: Cassie (anonymous@obgyn.net)
Mon, 11 Mar 2002 11:07:35 -0600 (CST)


At 37 weeks into my second pregnancy, I lost my son when I had a massive concealed placental abruption. I had not had any problems with that pregnancy or my previous one, and we were all stunned when it happened with no warning. I had to have an emergency C-section with a vertical incision and a substantial course of blood transfusions.

We are finally at a point where we are ready to try to have another baby, but I am really terrified about another abruption. Because the cause was never determined, I am especially worried. If it were a case of physical trauma from a car accident or because of a clotting disorder or something like that, at least I would know WHY, and be treated by a high-risk OB and attempt to take steps (whatever they may be) to prevent a recurrence.

But, I do NOT know. I have been given conflicting information on the odds of it happening again. One doctor told me that there was a 10-15% chance of it happening to me now that it has also happened once, whereas another doctor told me that it was a fluke that it happened at all in the first place and the odds were greatly in my favor of a normal VBAC now.

Can anyone enlighten me or give me some advice?

TIA




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