Top
30
Doctor insights on: Anterior Placenta And Delivery

Share

Placenta (Definition)

The placenta is an organ that connects the developing fetus to the uterine wall to allow nutrient uptake, waste elimination, and gas exchange via ...Read more


4

4
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?

What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?

Hyst'omy MANDATED: Hello Annie-_777
I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more

5

5
How painful is the delivery of the placenta? What happens after the delivery of the placenta? -details-plz

How painful is the delivery of the placenta? What happens after the delivery of the placenta? -details-plz

Nothing at all: It is usually uneventful and not painful. If you are awake, you may not notice when it comes out because the presence of the healthy long-awaited baby takes all your attention away from anything else. ...Read more

6

6
After delivery of the placenta, what are we looking for and why?

After delivery of the placenta, what are we looking for and why?

FullRemoval Placenta: Since placenta is an interface of dense capillaries surrounded by high maternal blood flow, remnants of the placenta left within the uterus commonly result in maternal bleeding, sometimes massive, within the first few days after delivery; sometimes stopped/masked by uterine contraction shortly after delivery. Additionally, tears of the uterus or vaginal canal into rectal vault > big problems, etc. ...Read more

7

7
After delivery how soon does the placenta need to be delivered?

A few minutes: It is generally delivered within 5 minutes, though it can take as long as 30 minutes. If it has not been delivered by then, a manual extraction may be needed. ...Read more

8

8
I have an abbutting os. How far away does the placenta need to be away from os for normal delivery?

Previa: As long as the placenta is not over the cervical os, vaginal delivery should be possible. A placenta that is at the margin of the os early in pregnancy may not be as close near delivery due to the way the uterus grows in pregnancy. ...Read more

11

11
Can placenta accreta be missed at delivery?

Can placenta accreta be missed at delivery?

Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more

12

12
How does amniotic fluid Embolisim happen 2 days after delivery if baby and placenta are no longer inside you??

How does amniotic fluid Embolisim happen 2 days after delivery if baby and placenta are no longer inside you??

Allergic reaction: Amniotic fluid embolism is a rare condition. It's due to amnionic fluid entering the maternal circulation. This results in a combination of cardiogenic shock, respiratory failure and a coagulation disorder causing blood clots or bleeding. Although most cases occur during or shortly after delivery, on rare occasions it has occurred 48 hours after delivery due to a delayed allergic reaction to the fluid ...Read more

13

13
Has anyone here treated retained placenta after delivery?

Yes: Probably anyone who has delivered a baby has had a case of retained placenta. ...Read more

14

14
If a placenta has an extra lobe is it always connected to the main placenta? Is it possible it could be hidden and not seen at delivery (c-section)?

If a placenta has an extra lobe is it always connected to the main placenta? Is it possible it could be hidden and not seen at delivery (c-section)?

Sonogram: Accessory lobes will always be connected in some capacity. They are usually seen by sonogram. Yes they can be missed during delivery. It would be hard to miss during a c section as the doctor is able to physically look inside of the uterus fairly easily. ...Read more

15

15
How often does placenta accreta go undiagnosed even after a csection delivery?

How often does placenta accreta go undiagnosed even after a csection delivery?

Placenta accreta: A previously undiagnosed placenta accrete may be diagnosed at the time of a cesarean section. This would occur when the OB is trying to remove the placenta but cannot because it is attached (accreta). On the other hand, if the placenta detaches easily, the uterine cavity is always explored so it would be rare to have an attached placenta left behind but a focal placenta accrete could be missed. ...Read more

16

16
I have a low-lying placenta but dr said yes to a vaginal delivery. What are the chances I will have to end up having a c-section?

Defer to Doctor: You are asking us to completely guess. We do not have the scans nor your history nor an examination. In this case we have to defer to the professional caring for you in person. ...Read more

17

17
I want baby to have vit. K shot not breastfeeding due to medication would like syntocinon for delivery of placenta would you add anything else?

I want baby to have vit. K shot not breastfeeding due to medication would like syntocinon for delivery of placenta would you add anything else?

Birth list??: I'm not sure exactly what you are asking, but from the info you gave I assume you are making a list for your birth experience. I would add eye ointment for baby to prevent infection (you can ask for it to be delayed up to 1 hour after birth), would add Hep B vaccine for baby. I'd reassess not breastfeeding — there are actually VERY FEW medications that you cannot take while breastfeeding... ...Read more

Dr. John To Dr. To
1 doctor agreed:
18

18
My wife is 29wk pregnant her recent doppler scan shows AFI 6.3, placenta grade is 3 with small calcified area. Are there chances of premature delivery?

Dr. John To Dr. To
1 doctor agreed:
My wife is 29wk pregnant her recent doppler scan shows AFI 6.3, placenta grade is 3 with small calcified area. Are there chances of premature delivery?

No increased risk: The fluid index is a bit low but that is highly variable on how the sonographer displays the image. The other ultrasound findings would not confer any increased risk of premature delivery in the absence other worrisome clinical findings like maternal hypertension eclampsia etc ...Read more

19

19
How does placenta previa cause preterm delivery?

Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read more

20

20
4 month pregnancy. Placenta posterior lower position. Unbearable pain in interval of 3-5 days. Will my delivery be cesarean or can be normal?probl cause?

4 month pregnancy. Placenta posterior lower position. Unbearable pain in interval of 3-5 days. Will my delivery be cesarean or can be normal?probl cause?

Possibly: Low lying placenta could be possible to deliver basically but depends on how close to cervical opening. Partial or complete previa is a cesarean section for sure ...Read more

21

21
18 weeks just had my ultrasound and found out I have low line placenta can I still have a normal delivery scared of c section?

18 weeks just had my ultrasound and found out I have low line placenta can I still have a normal delivery scared of c section?

Maybe: The placenta can "migrate" during gestation. It doesn't really move but the uterus enlarges. Depending on the location and growth of the uterus, it is more than likely that the placenta will not be a problem for a normal delivery. You doctor will likely want to additional ultrasound exams to make sure it moves out of the way. ...Read more

22

22
At my 18week ultrasound my dr told me my placenta was low on my cervix, can I still have a vaginal delivery and what can I do to help my placenta rise?

Probably and nothing: The vast majority of low-lying placentas discovered at 18 weeks resolve spontaneously prior to term. There is nothing you can do to help it. ...Read more

23

23
Would pelvic pain be so intense this long after delivery 2wk ago. Could I have appendicitis or retained placenta?

Yes: Your body is trying to tell you that something is wrong. You could have retained placenta or appendicitis. You should call your obstetrician and discuss it. You may need to go to the emergency room for evaluation. ...Read more

24

24
Hi. More curiosity than concern...7 weeks ago, I had a complicated vaginal delivery. I retained my placenta, hemorrhaged and needed a transfusion.?

Hi.  More curiosity than concern...7 weeks ago, I had a complicated vaginal delivery.  I retained my placenta, hemorrhaged and needed a transfusion.?

Unclear question: Hopefully you and your baby are in good health. What you went through is not out of the ordinary. It is good that you received good care and are well enough to write to HealthTap. You should not worry about what happened and go on with your life. Wish you and your baby good health.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

25

25
1 c-section, 1 vbac, 2+ years after c-section. During vbac, I had 60% placenta abruption, discovered after delivery. Mama and baby are fine 1 yr later. Risks for future vbacs if we get pregnant again?

1 c-section, 1 vbac, 2+ years after c-section. During vbac, I had 60% placenta abruption, discovered after delivery. Mama and baby are fine 1 yr later. Risks for future vbacs if we get pregnant again?

You need to see MD: To identify your risk there are many questions and answers needed. There is a risk assessment questionnaire that your md will do and help you understand your risk. ...Read more

26

26
I had a d&c for retained placenta 2 weeks after a vaginal delivery, is this normal? Most people I hear about is 6 + weeks postpartum.

Never normal: A retained placenta is not a normal thing to happen at all. It is considered an abnormal complication. A D and C is the correct treatment. The earlier post-partum it is recognized and treated the better. ...Read more

27

27
My high risk Dr. said I have a low-lying placenta, that I should be on pelvic rest, no heavy lifting. I'm 24 weeks pregnant. How likely will the placenta not move to the top by the delivery date? What is max weight I can lift? Ok to walk 30 min/day?

My high risk Dr. said I have a low-lying placenta, that I should be on pelvic rest, no heavy lifting. I'm 24 weeks pregnant. How likely will the placenta not move to the top by the delivery date? What is max weight I can lift? Ok to walk 30 min/day?

I believe you're: Referring to placenta previa where the placenta implants around the opening of the uterus (cervix). Generally, limit on weights is whatever you can lift using arm and shoulder muscles only. (5-10# +/-. Walking is probably safe, but check with your OB. Often the placenta migrates away from the cervix during 3rd trimester. IT'S VERY IMPORTANT TO LET YOUR OB KNOW IF YOU HAVE VAGINAL BLEEDING. ...Read more

29

29
What does it mean placenta is fundo anterior well away from IOS? Please reply thanks

See below.: Fundal means at the top of your uterus closest to your head. Anterior means in the front part of your uterus closest to your belly button. Well away from your internal os means that the placenta is not covering the "exit" from your uterus down by your vagina. This is a very safe placental placement. ...Read more

30

30
What is fundal anterior placenta?

Right place: Fundal anterior placenta means that the placenta is located on the front wall of the uterus towards to top of the uterus. It indicates that the fertilized egg found the right place in the uterus to implant. ...Read more