Hi everyone, hoping there is someone on BH that has some knowledge about placental problems. I'll be discussing this with my ob and looking for a clinical expert in this area but always useful to get extra opinions.
I am 33 and just had my first baby (IVF) almost 5 weeks ago. She was born at 36+4 weeks via emergency c-section due to severe preeclampsia (I was in ICU almost eclamptic and spent 10 days in hospital and still having some ongoing issues). I was diagnosed with early onset preeclampsia at 31 weeks so we did well to get that far. Up til 29 weeks I breezed through my pregnancy and then the preeclampsia symptoms started, I was put on hypertension medication at 31 weeks and had minimum twice weekly check ups from then on. The last 2 weeks of the pregnancy I felt pretty rotten and then things escalated very badly very quickly.
My placenta was sent for pathology testing and it was grossly abnormal. Here are the findings - if anyone has any info/experience with any of these I'd love to hear your stories, particularly if you went on to have any more babies:
1. grossly undersized for gestation (it was 278g, the 10th percentile for gestation is 391g and mean for gestation is 478g)
2. villous hypoplasia
3. villous immaturity
4. chronic villitis
5. Haemorrhage adherent 5% of surface
6. Haemorrhagic lesion measuring 10mmx7mm
7. poorly formed vasculosynctial membranes
My baby girl was born small, my last growth scan was at 32 weeks and she was 59th percentile estimated weight - at birth she was 15th percentile for gestation. I should have pushed for a 34 weeks scan.
I understand the placental problems likely caused the preeclampsia (and vice versa the preeclampsia would have contributed to her being small and placenta issues too). I also understand that some of the abnormalities are correlated with late gestation fetal death and growth retardation and there is a reasonable likelihood of recurrence.
I am struggling to come to terms with what happened - she's fine now, she was in neonatal care for 2 weeks but she is home and she'll be fine. I just can't shake that it was only good luck that she is ok, I knew things weren't great but I have wracked my brain over what I could have done differently in those past few weeks and the only thing I can come up with is they may have delivered her 2 weeks earlier (outcome being me not getting so sick but she probably would have required more intervention and hospitalisation). I just can't help but think we were very close to losing her. The last month of my pregnancy she was very 'quiet' which I put down to her getting bigger, less room etc. I now believe she was under stress and conserving energy in there. Luckily there is no evidence she was hypoxic.
I am at this point terrified to have another baby in future in case this recurs with a worse outcome. Anyone have any insight into these kinds of placental problems?? Thanks in advance.