12 doctors weighed in:
Mu wife is 29 weeks pregnant and has a complete placenta previa. She has bled twice. Do we need to be near a level 3 nicu.?
12 doctors weighed in

Dr. Pam Yoder
Obstetrics & Gynecology - Maternal Fetal Medicine
7 doctors agree
In brief: Two patients' safety
Women with a placenta previa are at risk of bleeding even if lying in a hospital bed.
Moving or transporting to another hospital can be risky. Infants that are preterm often need special nicu support after delivery. The choice of whether to transport mom/fetus vs newborn is a difficult one usually made by teams of subspecialists and doctors at both hospitals who know the situation well day-by-day.

In brief: Two patients' safety
Women with a placenta previa are at risk of bleeding even if lying in a hospital bed.
Moving or transporting to another hospital can be risky. Infants that are preterm often need special nicu support after delivery. The choice of whether to transport mom/fetus vs newborn is a difficult one usually made by teams of subspecialists and doctors at both hospitals who know the situation well day-by-day.
Dr. Pam Yoder
Dr. Pam Yoder
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1 comment
Dr. Pam Yoder
This can be a tough decision and worrisome time for families. Please see my 4 health guides for more: Uterine BLEEDING, "Vaginal" bleeding during pregnancy; What happens if I BLEED while pregnant? PREMATURE labor, PRETERM delivery, PREEMIE baby; Why is my baby coming early?
Dr. Nikolaos Zacharias
Obstetrics & Gynecology - Maternal Fetal Medicine
3 doctors agree
In brief: YES!
Move close to a tertiary care center with a large blood bank (preferably trauma center) and neonatal icu! placenta previa is a dangerous condition that requires expert management.
Consider all related discomfort as a minimal price to pay for a heatlhy mother-infant pair!

In brief: YES!
Move close to a tertiary care center with a large blood bank (preferably trauma center) and neonatal icu! placenta previa is a dangerous condition that requires expert management.
Consider all related discomfort as a minimal price to pay for a heatlhy mother-infant pair!
Dr. Nikolaos Zacharias
Dr. Nikolaos Zacharias
Thank
Dr. Cristina Carballo
Pediatrics - Neonatology
1 doctor agrees
In brief: YES!
Definetly need to deliver where a level 3+ nicu exists.
Both baby and mom are at risk. Mom for increased bleeding and dic complications; baby for neonatal depression with severe anemia/hypovolemic shock and the risk for hypoxic ischemic encephalopathy. Time is of the essence, the longer the delay in treatment, the worse the prognosis for good outcomes.

In brief: YES!
Definetly need to deliver where a level 3+ nicu exists.
Both baby and mom are at risk. Mom for increased bleeding and dic complications; baby for neonatal depression with severe anemia/hypovolemic shock and the risk for hypoxic ischemic encephalopathy. Time is of the essence, the longer the delay in treatment, the worse the prognosis for good outcomes.
Dr. Cristina Carballo
Dr. Cristina Carballo
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