Today marks 28 weeks. On Monday at 3:30 we have our 28 week ultrasound to check on my weird placenta and do a detailed study of the umbilical chord. I have not written a lot about this because I’m trying to enjoy the time I have with Chicken. Try as I might, I am terribly worried about this complication, and have been losing a lot of sleep lately due to it. My questions for the doctor right now are:
- Do I have a bilobed placenta only? Are the lobes of equal or unequal (succenturiate) size? Where in the uterus are the lobes located?
- How is my chord inserted? Can you do a color doppler scan and/or a 3d scan to determine blood flow and if there is any velamentous insertion?
- Is there vasa previa velamentous insertion?
- What are the risks to my baby?
- What can be done to minimize these risks?
- Is there a doctor who specializes in this in the area?
From my research I think the best case scenario is that I have a bilobed placenta with lobes of equal size. I know the chord is attached between the lobes but as long as it is not velamentous insertion, then it should be safe to deliver vaginally at full term. My biggest risk in this case is postpartum hemorrhage due to a retained lobe, which can be managed as I’ll be in the hospital, not in my bathtub!
Worst case scenario is that the lobes are unequal in size and there is velamentous insertion either with or without vasa previa. If there is vasa previa I will have a c-section around 35 weeks. If there is only velamentous insertion we will have to discuss my options. As desperately as I want to experience natural childbirth, I will not fight intervention if there is a chord insertion issue. Twelve weeks ago I might have argued differently, but now at 28 weeks I find myself so in love and bonded with little creature who kicks and rolls daily that I can’t stand the thought of losing him/her due to my insistence on a natural birth. Time will tell.
This weekend is my Alabama baby shower. I’m super excited to see friends and family, and celebrate this little life. I am also super hesitant – the baby is not safe yet. But I realize there is nothing I can do in this situation other than embrace today and have faith that in a few more weeks I’ll bring home a healthy baby. I’ll update you all Monday evening after the scan. Until then, if anyone has had a similar placenta issue and can recommend additional questions I might want to ask please share!