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Placenta Previa - Grade 4
Placenta Previa - Grade 4

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#1 MumtoJandE

Posted 05 August 2004 - 07:48 PM


I'm 32wks and they have only recently discovered that I have a major placenta previa and will require a ceasar around 37 weeks.  In addition the placenta in in such a spot that they will have to cut through it to get to the baby.  Has anyone else been through this and maybe provide me with some info on how it went, did they put you under general etc.



#2 crazymum2twins

Posted 06 August 2004 - 08:42 AM


I had the same placenta praevia as it sounds like you have. Thankfully yours has been picked up now. Mine didn't get detected until they cut me for my c/s and found it, and had to cut through it to bring out my twins... this is after 5 stints in hospital due to bleeding (from 29 weeks), I ended up having them at 38wks (Amy 7pd, Corey 5pd5oz)

I was under a general, I woke up 3 hours later, and didn't see my twins for another 3 hours, but mainly because they were in special care, and didn't come straight to my room.

I do remember the Ob and nurses saying I was lucky I was under a general, as apparently it was pretty messy!! They don't wear those rubber boots into surgery for nothing! original.gif

Good luck, and just face it as it comes. If you do suffer bleeding, which can happen with placenta praevia, make sure you get to your hospital ASAP.

Good luck

Amy & Corey

This message was edited by KerryMcG on Friday, 6 August 2004 @ 12:40 PM

#3 ~Dizzy~

Posted 06 August 2004 - 12:19 PM

Hi Kylie

I had PP grade 2 with DS2 and it also had to be cut through to get to him. I had an epidural and was awake although they wouldn't lower the screen when he was delivered, just held him up above it for me to see. They went in quickly and got him out quickly to minimise blood loss (I think it was around 400ml ~ not much) but all was fine.

I was warned that DS1 could suffer some cuts as the OB can't see as they get through the placenta but he was fine although covered in a lot of blood from the placenta.

I only had Grade 2 PP and didn't suffer any bleeds. I had my c/s at 37 weeks.

Good Luck !


[color=blue]Harley 15/01/01 & Zack 15/12/03

#4 MumtoJandE

Posted 06 August 2004 - 01:34 PM

Thanks Heaps

I've been to hospital four times in the last two weeks with a one week stay included and feel as though I'm a regular.

Thanks heaps for your reply's, I'm hoping to have an epidural but have to wait and see.

thanks again


#5 melf

Posted 06 August 2004 - 06:46 PM

I've just had placenta previa grade 4. I had my baby daughter, Jemima, out on Tuesday evening by caesarean section, after a week long stay in hospital with multiple bleeds varying in severity. She's a 35 weeker, and now in the newborn care unit of the Royal Hospital for Women in Sydney. I've come home, because being with the other mums on the ward was awful when Jemima couldn't be with me.

My placenta had to be cut through. I lost about 400 ml of blood, which isn't a cause for concern. I had an epidural. The team had blood ready for me just in case I lost a lot of blood. Jemima is fine, even though she's a lot earlier than expected, and we were originally aiming for 37.5 weeks.

Good luck!


#6 mummyM

Posted 06 February 2005 - 09:57 PM

I too had placenta previa-Grade 3 in my second pregnancy, and had to be admitted to hospital at 31 weeks, due to bleeding,they gave me steroids injections just incase I gave birth within 24 hrs.
I had to stay in hospital( to have monitoring done daily)for another 4 weeks, due to on/off bleeding.It was very hard as my DD didnt take it very well!!
At 35 weeks, I had severe bleeding and had to have an emergency c-section.(Originally planned for 38 weeks.)
I lost 2000 mls of blood, and very close to having a blood transfussion. I had to take iron tablets & vit c for the next 3 months.
My DS was born 5 weeks early weighing a healthy 3 kilos. He was in SCN for 10 days, due to poor sucking only.Its been almost 8 mths now and my DS is doing great he's 9 kilos.(a bit of a beefer LOL)So,I ended up having a happy endng and that's all that matters.


ME 33
DH 35
DD 27/07/00
DS 21/06/04

#7 ~ally~

Posted 21 February 2005 - 02:41 AM

Hi Kylie,

I had placenta previa grade 4 and had my daughter by c-section almost 7 weeks ago now at 35.2wks. My placenta was posterior so they didnt have to cut through it. I was told though that if it was anterior that I would have to have a GA because it is "quite messy and bloody" - although I had the GA (by choice) anyway!

I was in hospial for a total of 7 weeks (off and on with 5 weeks straight) after my first episode of ante-partum haemorrhaging at 22 weeks, I went on to have a total of 13 APH!!!!!

Like KerryMcG said, if you do have any bleeding get to your birthing unit quick smart!

I've Pm'd you too!



Baby girl, Isla Maddalyn born 06/01/05

#8 forevermom

Posted 21 February 2005 - 11:22 PM

I have placenta previa and my c-section is scheduled for March 9. My DD who is now 3 was born via a c-section as well as she was breech.

I don't know what grade mine is. Will have to ask my OB tomorrow.  Is the incision vertical or horizontal?

<a href="http://www.babysfirstsite.com"><img src="http://www.babysfirstsite.org/newtickers/ticker/9147.birthdue.png" border="0" alt="baby web sites"></a>

#9 heatherrose415

Posted 06 April 2005 - 10:14 AM

Im not sure how this whole thing works, lol.
anyway, Im Heather, im 19 wks pregnant with baby #2. Its been a complicated pregnancy since the very beginning, ive been on modified bedrest the whole pregnancy. I have a bicornuate uterus, which is a heart shaped uterus, it caused me to go into preterm labor and start dialating at 26 wks, i also have PROM (premature rupture of membranes) i was hospitalized almost a week on drugs to stop the labor and antibiotics. my water sealed and my contractions slowed. I was released to strict bedrest with terbuteline 4x a day, i delivered him at 36 wks.
So with this baby i have a very high chance of that happening again because of my uterus, i was also just diagnosed with complete placenta previa. Im so scared because from what ive read if yous tart dialating it can tear the placenta and baby usually needs to be born. I know technology now a days is great but still would rather not have this happen. Does anyone else have similar instances? I know the placenta can move, but from what ive heard it takes a while, do you guys know about how long? I want mine to move QUICK, before i get farther along and possibly go into preterm labor.  So does anyone else have a similar situation or went through a similar situation? how did it go? How did your doctor handle it?  Thank you guys so much!!

#10 chriscat

Posted 15 April 2005 - 09:55 AM

I had a posterior placenta previa grade 4 at first resolving to a more harmless grade 1 in the end. I was monitored more closely during pregnancy and had a c/s at 37 1/2 weeks by epidural. Had 400ml blood loss and all was fine with me and bubs. I had no bleeding during pregnancy either.

Find out as much as you can and talk to your Ob, surgeon and anaethetist, I did all that and it really helped to be prepared for all eventualities. Good luck.


Me (35)
DH  (34)
2 kitekats (3)
c/s 7/10/04
It's a girl!
<a href="http://lilypie.com"><img src="http://lilypie.com/baby1/051007/2/13/2/+10" alt="Lilypie Baby Birthday" border="0" /></a>

#11 eureka

Posted 17 April 2005 - 08:35 PM

I'm curious.... I was diagnosed with low lying placenta at 20 week scan (grade 3).  I had another scan at 28 weeks and the placenta had "moved" 3cm away from OS.  I assumed that I was now probably in the clear, that the placenta would keep moving to at least 5cm away and then I could have a VB.  I am now 32 weeks and now wondering if I should still be concerned.  If yours was a grade 1 and you still had to have a CS that makes me wonder whether I will still have to as well.  I have had no bleeding.

#12 chriscat

Posted 19 April 2005 - 10:28 AM

Hi Eureka,

My placenta had only moved 2cm away from the internal os at 34 weeks, covering it still at 28 wks, which wasn't enough for a vaginal birth. I think you need at least 5cm away from it, as you said. If all goes well, you could have your vaginal birth, you still have a while to go.

Good Luck and feel free to contact me, if you have any more ??


Me (35)
DH  (34)
2 kitekats (3)
c/s 7/10/04
It's a girl!
<a href="http://lilypie.com"><img src="http://lilypie.com/baby1/051007/2/13/2/+10" alt="Lilypie Baby Birthday" border="0" /></a>

#13 MountainsKath

Posted 19 April 2005 - 12:47 PM


I was rescanned again yesterday (my third vaginal ultrasound to track the placenta) and the placenta was 29mm from the internal OS. The OB gave me the go-ahead to try for a natural birth. They said it was favourable that bub's head had enough room to engage and that I had no bleeding to date. Perhaps different hospitals have different policies??

There is an increased risk of retaining the placenta due to where it attached, so they will be keeping a good eye on me in labour and monitoring bubs intermittently. I got the impression that labour should present few issues, but that getting the placenta out is where I may have problems.

My placenta moved the most in the last 4 weeks (I am nearly 38 weeks), so you still have plenty of time.

Schmoo is due 05/05/05!

This message was edited by MountainsKath on Tuesday, 19 April 2005 @ 12:48 PM

#14 eureka

Posted 19 April 2005 - 06:48 PM

Well that is reassuring to hear, maybe I will get to have a VB.
Good luck Mountains Kath, hope the birth goes well!

#15 melf

Posted 04 July 2005 - 10:23 AM

Wanted to post back to this topic, now bub's 11 months old. I've found out so much more about babies born early since, and there's a few things I would have done differently in Newborn Care Unit. I wanted to post in case someone else can benefit.

I would have:
* Held my baby more - even though they are asleep, they know they are being cuddled, and are close to their mum. "Kangaroo care" research shows that cuddled babies grew more quickly and became strong enough to leave hospital more quickly.
* Massaged baby - same result as above
* Bought an Amby Baby sleep hammock (http://www.babyhammocks.com.au/) - helps premature babies settle for sleep - keeps them in a womb like position to feel more secure - they don't get to stay in the womb for as long as other babies and miss out on this. Also helps with reflux, which is very common in premmies.

Best wishes for any other G4s out there!


DD Jemima 03/08/04

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