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Terrified of placenta previa/ accreta

post #1 of 12
Thread Starter 
I'm planning a vbac, determined on homebirth, DETERMINED! In my state there's complications with having a legal homebirth with a midwife since Its a vbac, so if I can't find an attendant I'm just gathering some information on unassisted hbac.
I believe 100% in my body's ability to give birth but....
I have a anterior placenta, I had 1 with my first too, I hardly felt him move, I feel this baby move more & more everyday, my 22 week ultrasound showed him laying transverse then heads up (so he's switching positions alot)
I'm not Necessarily worried he won't go heads down I'm worried this increase in movement could mean the placenta is moving lower toward my uterine scar & I'm scared I'm gonna end up with placenta previa or placenta. Accreta.


Am I being a worry wort or anyone have some words of wisdom
post #2 of 12
As your uterus gets bigger, all the things in it get further away fro. Each other. It's like, if you draw two dots on a balloon, and blow up the balloon. The dots won't get closer together, only further apart. The placenta doesn't move, either. It implants in one spot, and then uterine growth may make it seem like it's moving.

It may be worth an ultrasound to check for signs of previa or accreta - these situations really call for c-section, and you can't rule them out by external checks.
post #3 of 12

Are you planning a UC birth?  To me, that is quite different from a planned HB with an attendant. What you may find is that HB mamas may not be able to give you enough information about this subject because most plan their birth with a trained attendant who can listen for placenta placement and recommend further interventions. Have you posted in the UC forum to get some advice for how UC/UP mamas rule out previa?  Also, it sounds like you're receiving some sort of prenatal care now. Is it an option to schedule another ultrasound closer to the birth? I'm sorry, I'm just not all that familiar with the process of UC. Good luck finding the information you need, mama! 

post #4 of 12

Also to second what MeepyCat said. I had a low placenta with my first birth (my MW was able to "hear it"). I went for an ultrasound further into the pregnancy (I think around 30 weeks) to be sure it had "moved".  By "moved" I'm mean what MC said - the uterus had grown and the placenta was no longer close to the cervix. It was my understanding at the time that what MC said is correct - the uterus expands and the placenta in effect moves away from the cervix. It doesn't move closer. I hope that's not too jumbled.  

 

I would think some basic reading to finish preparing you for a UC would cover both how to ID a breech as well as how to ID and what to do in the event of suspected pervia. 

 

What did the ultrasound tech say or the MW or OB who ordered that for you? 

post #5 of 12
Thread Starter 
I'm not planning a UC, just as a last resort vs going to the hospital for a repeat cesarean, I dont want to go to the hospital unless completely medically necessary. I posted on both forums just to get more feedback smile.gif
The problem is home vbac is not 'legal' for the midwife in my state so if I can't find someone willing to attend I was considering UC. I'm receiving care from a OB as of now, just wanting to be prepared for anything.

The ultrasound tech, when she told me my placenta was anterior, I asked if it was close to the scar or would be a problem, she said that it wasn't & it wasn't true that it could be a problem, that I can't believe everything I hear on the Internet. Smh, not the answer I was looking for from a professional..
post #6 of 12

Keeping in mind that this isn't the UC forum and I haven't had a UC, I would caution you a bit on how you approach UC. I have always understood UC to be a conscious choice that a family makes to become educated about birth to the point that they can provide adequate care for themselves at birth. I can't tell form your posts if you are still looking for a HB midwife and/or if you are considering last minute UC if not. I would caution against the latter. 

 

I am a mama of two planned home births with a healthy skepticism of doctors and obstetrics but I would trust most doctors to advise me about the location of my placenta and the position of the baby, especially with ultrasound technology. In fact, many HB MWs use ultrasound when they are not confident of placement and positioning. 

 

So, if I were you, I would keep looking for a HB MW or a hospital MW or OB who can do a VBAC. I sympathize 100% that there are not better VBAC options for women in this country!  If you are still considering a UC, I think a whole bunch of research is in order. The UC forum should be able to point you in the direction of where to start. 

 

Good luck! 

post #7 of 12
Quote:
Originally Posted by IdentityCrisisMama View Post

 

I would think some basic reading to finish preparing you for a UC would cover both how to ID a breech as well as how to ID and what to do in the event of suspected pervia.

 

In the event of suspected previa, please get to a hospital as soon as humanly possible.  I've seen UC related reading that suggests otherwise, but those are all last-ditch techniques for delivering a dead baby - previa really needs a hospital.  If it turns out to be only suspected, and not actual, previa, you can always get up and go.

post #8 of 12
Thread Starter 
Definitely would go to the hospital if I suspected any complications! I'm really not planning UC, but a homebirth with an attendent. I was just going through all my options of avoiding a hospital. My main concern was how much more movement I feel with this guy compaired to my last pregnancy (with an anterior placenta also), I guess just being extra cautious...& maybe a bit paranoid lol.
post #9 of 12
Quote:
Quote:
Originally Posted by IdentityCrisisMama View Post

 

I would think some basic reading to finish preparing you for a UC would cover both how to ID a breech as well as how to ID and what to do in the event of suspected pervia.

 

 

Originally Posted by MeepyCat View Post
 

 

In the event of suspected previa, please get to a hospital as soon as humanly possible.  I've seen UC related reading that suggests otherwise, but those are all last-ditch techniques for delivering a dead baby - previa really needs a hospital.  If it turns out to be only suspected, and not actual, previa, you can always get up and go.

 

Sorry, I meant that I thought some UC sources would address how to be aware of placenta position and what to do if one suspects previa during pregnancy. I did not mean to suggest that I thought any UC source was sufficient for how to handle previa during a birth. The reality here for me is that I just don't know much about UC and I prefaced that, I think. My main point was to encourage the OP to begin research if she is considering UC as an option for this pregnancy. 

post #10 of 12
Quote:
Originally Posted by MamaChance View Post

Definitely would go to the hospital if I suspected any complications! I'm really not planning UC, but a homebirth with an attendent. I was just going through all my options of avoiding a hospital. My main concern was how much more movement I feel with this guy compaired to my last pregnancy (with an anterior placenta also), I guess just being extra cautious...& maybe a bit paranoid lol.

It's too bad that you haven't yet found a MW because those are great questions for her. Did your doctor discuss your ultrasound with you yet or are you just going by what the tech said?  I know OBs are sometimes not known for taking time to explain things but maybe you can call the office and ask. To me, there's a lot going on here but there are probably some pretty easy answers to some of your questions - namely placenta placement in relation to your uterus and scar. 

 

As far as finding a MW, have you contacted your local ICAN office?  The one in my area is very supportive of HB and is even the office that assisted me in finding a MW and getting my DC's birth certificate. And I never even had a c-section!  

post #11 of 12
Thread Starter 
I've been to the ican website but there's no local chapter near me that I can find, unfortunately I will have to find someone willing to do an "underground" homebirth or hire a traveling midwife (which I think might be a bit costy) I've found someone who's willing to meet up & chat with me so I'm hoping some good will come of that! This is just what the tech told me.
post #12 of 12
Quote:
Originally Posted by MamaChance View Post

I've been to the ican website but there's no local chapter near me that I can find, 

Here is information on a chapter in SC. If they are not local, I would still contact them for provider information. 

 

ICAN of the Upstate
Greenville

Contact: Jenn Anderson
eMail Address: icanupstatesc@gmail.com
Telephone: 864-982-0444
Website: icanupstate.wordpress.com/

 

Quote:
Originally Posted by MamaChance View Post

unfortunately I will have to find someone willing to do an "underground" homebirth 

I'm not familiar with the climate of HB in SC but here in MD CPMs are not recognized by the state and are often called "underground" MWs. I used a CPM here and can tell you that it certainly didn't feel "underground". There is some debate over the issue but for me I cared more about the MW's experience, training and ect. than I did whether my state recognized her certification. 

 

Good luck finding a MW! 

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