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Low lying placenta at 36 weeks(8 Posts)
Hi, I have been told at a scan yesterday that I have a low-lying placenta still. It is 15mm away from the cervix. I am already booked for a C section at 39+0 for other reasons, and am due to see the consultant next Thursday, when I will be 37+1. I had a big PPH (2.3L) with my last labour and this is why I am under consultant care. I am now panicking as I have done some research online and scared myself as I read lots about having a big risk of having a huge haemorrhage and possible hysterectomy, and I was already worried about bleeding anyway after my last labour. I know I need to see what the consultant says but can anyone offer any reassurance? Thanks
Agh, in the same boat as you but also with suspected accreta as well. Having c section on Feb 7th at 36 weeks and completely terrified!! Hoping to get some reassurance from someone on here...
Good luck with your section. What has your consultant said? Why do they suspect accreta as well? I read online about taking iron beforehand but I'm not yet as I haven't seen a Dr about it
I don't have any reassurance, I had undiagnosed placenta praevia and it wasn't a good experience as they tried to induce me for normal birth. However with a scheduled section you should be fine, it will be a routine procedure done calmly with everything in place should it be needed. A hysterectomy is very unlikely and not something that would be performed without serious need.
It will be fine. I had a Grade 4 Placenta Previa and premature labour and I didn't bleed all that much compared to my CS for Grade 1 PP. A lot of those who haemorrhage often do so because of undiagnosed PP. Yours sounds like a Grade 1 PP and you should really be fine.
Oh I had suspected accreta as well. And I had a chat with the surgeon and he said 'look we have to talk to you about hysterectomy risks etc but in 20 years of operating on women with complex placentas I have had to do 5 hysterectomies and 3 of those were cases were the accreta was undiagnosed.'
It is highly unlikely that with grade 1 praevia that you will have a pph that requires a hysterectomy. It is good that you have read about possible scenarios, but try to stay positive, it is really rare (around 0.5% of all caesarian cases according to one study, 38% of those had accreta with most of those having had prior uterine surgery of some kind, 34% of those for uterine atony (uterus not contracting back, more common in women who have had multiple children)).
I had grade 4 placenta praevia with percreta (worst case accreta) into my bladder. This was because I had two previous c sections and the placenta grew through the thinner scar tissue. I had dc3 at 34 weeks, he was fine and didn't need scbu and breastfed fine. I did have a hysterectomy and a 7 litre blood loss, but I am still here with my children which is the important thing. No lasting bladder damage. I was in hdu but not itu and home after 6 days.
A lady in hospital with me had accreta and 2 previous c sections and did not have a hysterectomy. She had balloon occlusion and pelvic arterial embolization.
Another lady with grade 4 praevia and no accreta had a pph, but no hysterectomy/arterial embolization. She breastfed her 34 week old and was home 3 days later.
If you are at risk of a major pph then making sure your iron levels are up is crucial before delivery. Your consultant should make arrangements for a delivery at a level 3 facility with a whole team of people there to look after you.
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