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Doctor insights on: Incomplete Placenta After Delivery

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Could placenta previa lead to placenta percreta?

Could placenta previa lead to placenta percreta?

PP can be percreta: A placenta prévia can invade the uterine and cervical tissues and be associated with a placenta increta and placenta percreta. ...Read more

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


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What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?

What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?

About 4% but rising: The most common reasons for c section of a second twin are heart rate problems and the baby coming down in a position other than head first. Many doctors used to be willing to deliver a second twin either butt first or by the feet, but few still have much experience in doing this. There is also a risk of injury to the nerves of the arm or learning disability in any baby that is born breech. ...Read more

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Has anyone here treated retained placenta after delivery?

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

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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

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What's the difference between partial placenta previa and placenta previa?

Distance form cervix: 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

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8pound baby delivered normal thru induction, possible?

8pound baby delivered normal thru induction, possible?

Yes: Babies can be delivered vaginally even over 10 lbs. Some larger babies may cause difficulty with delivery however. Do not rely on the estimated size to determine if the baby can be delivered vaginally as size estimates in the 3rd trimester can be inaccurate. Rely on your obstetrician's experience! ...Read more

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Can a placenta previa totalis able to deliver normally?

Can a placenta previa totalis able to deliver normally?

NO: I believe only safe option is a planned cesarean section. That way no blood from infant & placenta will be lost and infant will not endure any risk. ...Read more

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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

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Posteria placenta @9weeks- then placenta previa. @ 17 weeks? Will it move again?

Yes, possible!: 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

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Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?

Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more

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Can you deliver vaginally if placenta previa corrects itself?C

Can you deliver vaginally if placenta previa corrects itself?C

Yes it is possible: If it corrects itself completely you should be able to deliver vaginally. Check with your ob. ...Read more

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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

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Umbilical cord prolapse caused a 30 second lack of oxygen to the baby during delivery. Will the baby be okay?

Umbilical cord prolapse caused a 30 second lack of oxygen to the baby during delivery. Will the baby be okay?

Only 30 ???: I am reluctant to accept the initial statement as realistic. Once a cord begins to prolapse it can produce an intermittent but complete obstruction to blood flow that may add up to a significant o2 deficit over time.I'm not sure anyone can estimate the insult accurately.If only 30, probably no long term effect. If low 1/5/10 min apgars and seizures in the 1st 24hr,it was longer and more problemat ...Read more

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Placenta abruption can recover without affecting the baby?

Sometimes: Abruption is a bleed from the placenta; a disruption of either the mother or baby's blood supply. Many causes: trauma, high blood pressure, drugs (cocaine), preterm labor, polyhydramnios. Can be very large or very small, so even US can miss a diagnosis. Symptoms: usually preterm contractions, sometimes vaginal bleed. Fetal monitoring is necessary. Wait, watch; abruption can self-heal sometimes. ...Read more

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28 wks pregnant, previous c section, placenta anterior, no acretta now- placenta is 4cm above c section scar. Could acretta still develop at this pt?

28 wks pregnant, previous c section, placenta anterior, no acretta now- placenta is 4cm above c section scar. Could acretta still develop at this pt?

Yes but low risk: Acretta can develop even in women who have never had a c/section. Fortunately this is rare. The risk is much higher if the placenta is covering the prior c/section scar. With the placenta 4cm from the scar, your risk is very low (but not zero). Best wishes! ...Read more

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Diagnosed with partial/marginal placenta previa (25 wks). Precautions? Worried about preterm labor, placenta has not moved up since 17 wk scan.

Diagnosed with partial/marginal placenta previa (25 wks). Precautions? Worried about preterm labor, placenta has not moved up since 17 wk scan.

Try to relax!: It's still fairly early to be worried. Most patients with marginal placentas deliver vaginally without incident. If this is your first pregnancy your lower uterine segment will not soften until fairly close to term so the placenta may appear to be low until fairly late. As long as there isn't significant vaginal bleeding you shouldn't worry. ...Read more

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Im 25 weeks pregnant. Diagnosed with placenta previa totalis. Baby is in breech position. Is there a chance of my placenta migrating and baby rotating?

Im 25 weeks pregnant. Diagnosed with placenta previa totalis. Baby is in breech position. Is there a chance of my placenta migrating and baby rotating?

Yes there is!: As the uterus grows your placenta may migrate up, and the baby may turn to the vertex (head down) position. There is no guarantee. You need to be watched closely. If previa still exists and/or baby is still breech at term, you'll need a c section. Avoid intercourse or anything else in the vagina while you have a previa. This could cause severe bleeding. Be seen for any bleeding. Good luck. ...Read more

Dr. Michael Kleerekoper
1 doctor shared a insight

Placenta Delivered Incomplete (Definition)

This means that part or one lobe of the placenta didn't come out within 30 minutes ...Read more