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#1
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early placenta previa, no vaginal bleeding
A friend has been told at about 10 weeks that her placenta is currently
over the cervix, she has been reassured it will almost certainly move, but is finding the "no sex" thing rather hard, particularly as she can't back it up with any information. She's had these scans because it's an IVF pregnancy (and a difficult to achieve one, they couldn't get any eggs to ripen for ages), but she's never had any vaginal bleeding. Are these restrictions really necessary? Cheers Anne (mother) |
#2
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early placenta previa, no vaginal bleeding
Anne Rogers wrote:
A friend has been told at about 10 weeks that her placenta is currently over the cervix, she has been reassured it will almost certainly move, but is finding the "no sex" thing rather hard, particularly as she can't back it up with any information. She's had these scans because it's an IVF pregnancy (and a difficult to achieve one, they couldn't get any eggs to ripen for ages), but she's never had any vaginal bleeding. Are these restrictions really necessary? I think there's little basis to know. The vast majority of women wouldn't even know there was a potential issue at this point in the pregnancy. I'd say the recommendations are more likely an abundance of caution rather than a recommendation based on concrete evidence of risk, but the bummer is that there isn't evidence of safety either. Under the circumstances, she just has to decide how cautious she feels she wants to be :-/ Best wishes, Ericka |
#3
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early placenta previa, no vaginal bleeding
turns out it was actually a natural pregnancy that had been thought
impossible, discovered by the requirement to do a pregnancy test before the first shot, but the IVF clinic then monitored it as they normally would. She's well aware that this simply wouldn't have been discovered under normal circumstances, but I don't think is quite able to take the step of saying to the OB "I've considered your advice and decided to ignore it". Anne |
#4
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early placenta previa, no vaginal bleeding
Anne Rogers wrote:
turns out it was actually a natural pregnancy that had been thought impossible, discovered by the requirement to do a pregnancy test before the first shot, but the IVF clinic then monitored it as they normally would. She's well aware that this simply wouldn't have been discovered under normal circumstances, but I don't think is quite able to take the step of saying to the OB "I've considered your advice and decided to ignore it". I rather doubt she's going to find any information that will make her feel comfortable ignoring the OB's advice. Best wishes, Ericka |
#5
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early placenta previa, no vaginal bleeding
I rather doubt she's going to find any information that will make her feel comfortable ignoring the OB's advice. nor anything that proves it either, which means you end up stuck between a rock and a hard place. The way I understand things, for her, it's more than just a frustration to be dealt with, but something that is very fundamental to her, I'm just crossing my fingers that the anomoly scan which can't be too far away now will give her the all clear and she'll be past the worries. Anne |
#6
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early placenta previa, no vaginal bleeding
Anne Rogers wrote:
A friend has been told at about 10 weeks that her placenta is currently over the cervix, she has been reassured it will almost certainly move, but is finding the "no sex" thing rather hard, particularly as she can't back it up with any information. She's had these scans because it's an IVF pregnancy (and a difficult to achieve one, they couldn't get any eggs to ripen for ages), but she's never had any vaginal bleeding. Are these restrictions really necessary? Cheers Anne (mother) Hi Anne, Having had a placenta previa birth almost 30 years ago and giving birth to a still born I would suggest that she do whatever they tell her.Mine was not picked up prior to the birth as there was no such thing as scans. But tell her not to panic as my still birth was due to incompetent hospital staff who handled the whole thing rather badly before they finally rang my OB. I nearly died and had to be given transfusions due to the amount of blood I lost. I had to have a C section once it was realized that the baby had died. My case was added to the emergency manuals as a "what NOT to do in an OB emergency in the ER"." For starters... when we got there and rang the night bell it was nearly 5 minutes before we even got into the hospital. Then I had to walk in, then walk to the bed after they took all my details. Then I should have been given meds to try to stop the contractions, I wasnt. Whatever it was that they did give wasnt enough. I was then asked to walk AGAIN to another part of the ER and by the time they decided to ring the OB it was too late. By that time I was pretty much losing connection with reality but well remember my OB totally freaking out when she arrived and saw the mess I was in. By then the baby was dead as I had been bleeding and contracting for almost 2 and a half hours.It was 2 days before I woke up and found out what had happened. My next two babies were born by C section and taken two weeks before the due date. When I has having my third child we asked if I could deliver her naturally as at that stage she was to be the last. My OB said that if I went into labour prior to the date scheduled for the CS that we could try. But obviously I could end up in an emergency CS if anything went wrong meaning that I couldnt have the epidural and be awake. Well I did get the start of contractions prior to the due date(2 days) but they stopped.During the CS the doctor asked me if anything unusual had happened. I told of the mild contracting but that they had stopped after about an hour...no pain except a strange ripping feeling near my naval. He told me that it was just as well as I had been bleeding and it looked like I was previa again. Thank goodness the contractions had stopped. My last baby was born by CS with no complications. Tell her it may be hard to abstain from sez but I would follow instructions at this point. There are other ways to relieve the urge without penetration...... |
#7
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early placenta previa, no vaginal bleeding
Her OB isn't telling her to refrain from intercourse for nothing -
anything that disrupts the placenta, such as intercourse or even an exam of the vagina and cervix may cause bleeding. I wouldn't consider this to be stuck between a rock and a hard place at all... she has a potentially serious complication that could harm her and the baby and she wants to question the advice from her doctor? I fully understand the frustration of not being to have intercourse for an unknown amount of time, I was advised not to have sex for a certain time period early in my second pregnancy - intercourse is a huge part of my and hubby's life... not to get too personal but it is something that occurs multiple times on a daily basis with us. So yea it was tough, but nothing was more important than the safety of the pregnancy and while we waited it out we enjoyed other things... granted it wasn't the same but thats it, we had to suck it up. Though I would think that she would have to avoid orgasms as well as they may start contractions, which would, in turn disturbs the placenta. Its easy to say that if this had of been an ordinary pregnancy that she wouldn't be aware of the problem right now anyway, and while that is true, maybe she would miscarry at 12 weeks too because no one knew of the issue and she carried on as normal. The point is that they do know of the problem and the doctor wants her to take certain precautions. Sorry if this is coming off bitchy, but I mean really, I would think that this would be a no brainer, especially for someone who was having fertility problems. -Jen |
#8
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early placenta previa, no vaginal bleeding
Tell her it may be hard to abstain from sez but I would follow instructions at this point. There are other ways to relieve the urge without penetration...... Well she's been told pelvic rest, so that's not allowed either. Placenta Previa is very serious in 3rd trimester, but realistically cannot be diagnosed accurately before then either, an awful lot of cases can be discounted if transvaginal ultrasound is done rather than abdominal, but transvaginal ultrasound seems under used, leaving lots of women waiting anxiously to 34ish weeks when well over 90% will be told their previously low lieing placenta is normally positioned. Your story is very sad, but as far as I can tell the catastrophic events were near term, not early in the 2nd trimester. I won't be telling her to go against doctors orders, just crossing my fingers it's resolved on the next scan, I feel anxious for her because I'm aware of many things that make this more difficult for her than most. Cheers Anne |
#9
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early placenta previa, no vaginal bleeding
Sorry if this is
coming off bitchy, but I mean really, I would think that this would be a no brainer, especially for someone who was having fertility problems. show us the evidence then? seriously, she's a thinking person, I think she accepts that she's not going to get evidence that tells her it's ok, but she'd like at least some evidence that shows her it isn't. I'm not even sure that there is evidence that sex should be avoided with a low lieing placenta found at 20 or so weeks. I had a look at the NICE guidelines for antenatal care, which are fairly new and evidence based. When no symptoms are present, they give no recommendation for pelvic rest (which she is on, btw, not just no sex). I think she realises (as do I) the need for caution, but early scans for placenta previa are so unreliable the chances of this actually being one at term are very slim - I think it would be a comfort to her if it was clear that IF it truely is placenta previa, then this would definitely be the right thing, even if the chance it truely is is fairly low, but as far as I can tell, not even that is clear. Cheers Anne |
#10
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early placenta previa, no vaginal bleeding
That could be a long hard wait. :-) The placenta previa was noted at 10 weeks. How many weeks along is she now? The fetal "anatomy" scan normally would be around 20 weeks. It may help to keep in mind that the order for pelvic rest is coming from an IVF clinic, not an ordinary OB clinic. I would expect a "take no chances, none, nope, no, not at all, negatory" approach from an IVF clinic. Is pelvic rest normally recommended for 1st trimester placenta previa? And according to what evidence? Those are the questions needing answers, right?. There may be no answers but ... don't a lot of women get early "dating" scans? Wouldn't those scans include a quick look at the placenta? Pologirl |
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