Re: What is the risk of placental abruptions recurring?
From: j wang, M.D. (anonymous@obgyn.net)
Mon, 11 Mar 2002 20:23:38 -0600 (CST)
Likely the chance of recurrence is low. Depending on the incision on
your uterus, a VBAC may or may not be OK. A vertical uterine incision
would preclude VBAC.
At Mon, 11 Mar 2002, Cassie wrote:
>
>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
--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
Note: opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
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