Calcified Placenta at 36 weeks
and baby not growing...
, Jan 19 2013 10:56 PM
13 replies to this topic
Posted 19 January 2013 - 10:56 PM
I'm currently 36weeks and went to my OB for a scan today. I am currently an expat living in Taiwan and scans are done weekly overhere (during the last 6 weeks).
Last week at 35 weeks bubs was 2348 grams, a little small but no problems at all.
Today, bubs is only 2240 grams..
The doctor assures me that it is only an estimated weight and that bubs has most certainly NOT lost weight. It still has a small head but in proportion to the rest of it's body.
She noted today that it had long legs so speculated that it may have grown in length instead of in fat.
And then she checked my placenta and told me it was really calcified and that it will need to be closely monitored as it may have stopped feeding bubs, or atleast not be functioning adequately.
As of today, the amniotic fluid is fine, so she said not to worry, but then went on to tell me that if bubs hasn't grown by next week, she will put me on some special machine to monitor bubs heart beat for 20 mins to check all is okay.
So, of course I am worried..
I also have a congenital disease that can cause calcifications in different parts of the body, but studies have shown that it poses no increased risk during pregnancy.
So now I'm concerned about what I may possibly be facing.
If bubs hasn't grown sufficiently by next week, does anyone know what the next step would be?
If the placenta stops functioning properly is it usually cause for an early induction? Emergency CS?
Is there anything I can do to try to slow down the calcification?
For the record I am very healthy, and have only gained 8.5kg so far during the pregnancy. No GD, no PE.
Thank you for any advice/experiences.
Posted 19 January 2013 - 11:00 PM
To be honest, if it were me, I would be wanting that baby out now.
Posted 19 January 2013 - 11:07 PM
Same as pp if the placenta is not good baby would be better off out, I would have thought. Can you seek advice from an Australian ob or midwife ?
Posted 19 January 2013 - 11:10 PM
After a friend of mine very nearly lost her baby due to a calcified placenta I, like the PPs, would be wanting it out NOW.
Posted 19 January 2013 - 11:10 PM
Yes while I know nothing about it, from what you have said, I would be wanting an immediate delivery.
Size wouldn't bother me on its own (they can be out something like +/- 500gm each time) but that combined with the calcification definitely would
Posted 19 January 2013 - 11:29 PM
At 36w5d it was found by my Ob that I had a calcified placenta. The baby wasn't moving much anymore which prompted me to call her (I wasn't due to have another appointment for a few days). The decision was made on the spot to have the baby out by C-section two days later. During those two days I had steroid injections for the baby's lungs, and he was born at 37 weeks exactly. The urgency of having the baby out would very much depend on the amount of calcification though, and mine was quite considerable.
As soon as I was told that there was a significant risk of the baby being stillborn if we let the pregnancy continue I opted to have him out ASAP. He was a healthy 3.06kg at birth and we didn't have any complications, he didn't need any time in the nursery or special care unit.
I don't think there is anything you can do to slow down the calcification.
Good luck, I hope everything goes well. Keep asking questions and getting info from your Ob!
Posted 19 January 2013 - 11:32 PM
This happened to a friend of mine. They believe it started at 36 weeks also, but it was only picked up at 39 weeks when my friend's friend who was a midwife raised a concern with her. She went to her dr to check it out and they found the problem but he sent her home and told her not to worry about it. Well she worried alright and it appeared to induce labour later that day and her bub was born early the next morning. She was under 2.5kg and very poorly. She spent 2 weeks in SCN. Each case is different but I'd be wanting bubs out if there's a prob with growth.
Posted 20 January 2013 - 08:26 AM
I am with the others. I would be wanting to deliver right away and pushing for an induction., especially being 36 weeks.
Posted 20 January 2013 - 08:44 AM
WE lost our son last year due to a calcified placenta. Get your baby out now.Best of luck
Posted 20 January 2013 - 08:51 AM
I am assuming your doctor has done doppler flow studies during your scan as well? If this had reassuring results and your amniotic fluid is a normal level, this may be what is stopping your dr from delivering your baby, as she feels the benefits of keeping your baby cooking a little longer outweighs the benefits of delivering your baby early?
The CTG that she wants to do next week may also give her an indication of your baby's welfare and she may well do another scan with doppler flow studies again next week.
Keep an eye on your baby's movements in the mean time. They are a good indication of how your baby is faring. If you feel they are reduced at any time, please, please get yourself checked out straight away.
Posted 20 January 2013 - 10:31 AM
Thanks everyone for the replies.
I must admit, I was a little nonchalant about it until reading all of your posts.
I have spoken to my doula and she has given me a diet plan to help slow the calcification and to get as much across the placenta as possible.
As I said the doctor said everything was fine yesterday, good levels of amniotic fluid, good heartbeat, lots of movement etc, so for now we are going to closely monitor bubs movements, and head in if we notice anything different. Otherwise I will be bombarding the Dr with questions on Saturday and requesting every test possible.
I'm truly hoping it's nothing to worry about and bubs has just had a growth spurt in length.
Thank you for all of your advice, I have taken it all on board and will be treading carefully.
Posted 20 January 2013 - 10:55 AM
I would follow an OB's advice over a doula's advice. Has the OB recommended a diet plan?
Posted 20 January 2013 - 12:27 PM
I think that if your CTG'S, doppler studies and amnitoic fluid index etc are satisfactory then I would be guided by your obstetrician. There is a fine balance between when you should deliver for baby with growth restriction but still doing ok and delivering before there is lung maturity which could be an added problem.
It is not abnormal at all for a placenta to be calcified towards term, of course there are varying degrees of this and some will mean that induction early will be necessary.
Be very mindful of your baby's movements OP. If there is a reduction in these then call immediately so you can have a CTG. The U/S estimation of the baby's weight is probably inconclusive as it is +/- 500gms anyway but the best indicator of the beby's well being is it's activity level and your AFI.
Lots of luck.
ETA--Your Doula is quite wrong in telling you that you can slow the calcification via your diet. Calicfication is normal degeneration of the placenta, as long as you are eating a normal, healthy diet then you are doing the best thing by your baby.
Edited by soontobegran, 20 January 2013 - 12:31 PM.
Posted 21 January 2013 - 10:25 AM
Good morning ladies,
As much as I do trust my Doula, I obviously trust my OB a million times more!
The only reason I contacted my doula about this in the first place was under recommendation from my OB. My doula is very well known here and has worked closely with my OB and hospital for many years.
My OB also gave me some dietary advice (advised eating more protein) and told me to contact my doula for more.
Living in Taiwan, diet is the first line of medical treatment, and they have different beliefs to those that we do back home.
Like I said, my OB played it down a little so I wasn't overly concerned until I spoke to my doula and learnt more about it, and until I started reading all of the replies on here.
I am being super conscious of bubs' movements which isn't hard as it has always been a super active bub, and so far all is normal.
I'm hoping everything has improved by next Saturday when I see my OB again, but it's also good to know what my options are, and what the likely next course of action would be so thank you again for your replies. I will let you know how things go.
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