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Old 26.11.2013, 10:05
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Any pregnant women diagnosed with "low lying placenta"?

Hi all,

I am curious if anyone else has been told they have a low lying placenta (within 2 cm of the cervical OS). I was diagnosed at the Unispital (at 20 weeks), but my next appointment with my OB-GYN is not for another two weeks, so I haven't discussed with her yet. So far, I am asymptomatic, and as I understand, there is a very good chance of resolution before the birth (statistically, about 90% at this distance diagnosed mid-pregnancy will resolve, somewhat less if confirmed by TVU but still quite likely).

I am aware of the risks (which are relatively minor) and the protocol for observation (serial TVU measurements to check for placental migration), but am more concerned about what restrictions my doctor might place me on (modified bed rest? travel restrictions?) since I have two small children and a full-time job and, of course, we're planning on traveling over Christmas break.

Thanks for any insights you might have on this!

Chris
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Old 26.11.2013, 14:34
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Re: Any pregnant women diagnosed with "low lying placenta"?

I'd ring the practice and ask to speak to your doctor about it. It will give you a better chance of getting yourself organised than waiting two weeks and then having to turn plans upside down.
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Old 26.11.2013, 15:38
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Re: Any pregnant women diagnosed with "low lying placenta"?

My second hand experience for a couple of friends who have had that problem, is that as long as there is not any bleeding or spotting they won't' recommend bed rest.

Low lying placenta is not the same as placenta praevia. PP you definitely have to be a lot more careful.

I'd the placta is low lying and towards your back, they might suggest a c-section. But that would be something that is decided late i the pregnancy, a friend of mine had he placenta grow right across where they would normally do he csection,and for absolute medical reasons she could not have a normal labour. They managed to do a very low c section incision, virtually underneath her stomach, with intensive care on standby, and it was absolutely fine....
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Old 26.11.2013, 16:37
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Re: Any pregnant women diagnosed with "low lying placenta"?

Thanks swisspea. I would have been seriously unhappy had modified bed rest/pelvic rest been recommended without any other symptoms, so I'm glad to hear that that's not common here. I believe the placenta is posterior (based on my reading of the ultrasound while they were measuring distances), but I'll have to check again with my regular OB-GYN.

Do you have any recollection about your friends being required to stay within a reasonable distance of a hospital?
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Old 26.11.2013, 16:44
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Re: Any pregnant women diagnosed with "low lying placenta"?

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Do you have any recollection about your friends being required to stay within a reasonable distance of a hospital?
Even if not required, I recommend doing it. With something like that, however low-risk it might seem, there might be another issue hiding that is waiting to pop up. Best to be safe and stay within a distance you're comfortable with for emergencies (will vary depending on where you're going and the facilities available, of course).
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Old 26.11.2013, 16:50
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Re: Any pregnant women diagnosed with "low lying placenta"?

I was told that mine was low, though I'm not sure by how much.

I did end up needing a C-section, but that was due to myoms (uterine fibroids), which kept the fetus in an abnormal position. I suppose the myoms could have been the cause of the low placenta, but I'm not sure. Your doctors would find any myoms on an ultrasound.

But I certainly never had to go on bed rest or anything because of the low placenta. My pregnancy was, I think, quite normal for the most part. Or as normal as pregnancy can really be or feel, I guess.

Hope everything works out okay for you!
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Old 26.11.2013, 19:16
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Re: Any pregnant women diagnosed with "low lying placenta"?

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I was told that mine was low, though I'm not sure by how much.

I did end up needing a C-section, but that was due to myoms (uterine fibroids), which kept the fetus in an abnormal position. I suppose the myoms could have been the cause of the low placenta, but I'm not sure. Your doctors would find any myoms on an ultrasound.

But I certainly never had to go on bed rest or anything because of the low placenta. My pregnancy was, I think, quite normal for the most part. Or as normal as pregnancy can really be or feel, I guess.

Hope everything works out okay for you!
Thanks! I am also hoping for a relatively easy time. Glad to hear that you didn't have any complications from the placenta (bur I am sorry about the fibroids!)
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Old 26.11.2013, 19:48
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Re: Any pregnant women diagnosed with "low lying placenta"?

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Thanks! I am also hoping for a relatively easy time. Glad to hear that you didn't have any complications from the placenta (bur I am sorry about the fibroids!)
Thanks. Thankfully, they shrunk during/after of the pregnancy, and so far haven't ever been a problem again.
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Old 27.11.2013, 12:03
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Re: Any pregnant women diagnosed with "low lying placenta"?

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Even if not required, I recommend doing it. With something like that, however low-risk it might seem, there might be another issue hiding that is waiting to pop up. Best to be safe and stay within a distance you're comfortable with for emergencies (will vary depending on where you're going and the facilities available, of course).
This is a bit off topic, but...

There's always a risk of something popping up, and I've seen some of my pregnant friends drive themselves (and the rest of us) crazy with trying to be careful (I'm American, so we're especially prone to pregnancy craziness). I'm really trying to get at the real risks (which appear to be very, very small and mostly a third trimester problem) and be informed so that I can have a rational discussion with my OB-GYN.

But you're right, it is probably the most smart way to go
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Last edited by swiss_in_training; 27.11.2013 at 12:46. Reason: whoa. this sounded way more grouchy than I meant!
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