thread: placenta previa grade 4 at 20 week scan

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  1. #1
    Registered User

    Mar 2011
    Melbourne
    948

    just a quick update:

    i aw my ob last night and went through my 20 week U/S results
    at 20 weeks my placenta was covering my cervix and was 2.19cm over the otherside
    goodnews was it was currently postierer(sp)
    but my ob said theres less then 0.5% chance of it moving for a natural birth
    booked in next wednesday for a follow up U/S
    still no bleeding

  2. #2
    Registered User

    Jul 2006
    In The Land Of Wonderful...
    1,751

    Hi There

    I had grade 4 as well... mine was like yours & completely covering.. it stayed posterior which was lucky!

    I had absolutely no signs of bleeding up until 32 weeks... got out of the shower one night to put my clothes on & its just started... massive gush
    It went for about 40 mins on and off, I was taken to hospital, and then rushed via ambulance to a different hospital that had the facilities to deal with a 32 week old bubba in NICU.
    Luckily, the bleeding stopped, they kept me in for 2 weeks (I had small spots of old blood) - and let me out at 34 weeks to go home on bed rest only.
    I was home for a week, and at 35 weeks, had another bleed, so was taken to hospital again. It took longer to stop that time, but it was minimal enough to monitor.... I ended up holding on until 36 weeks where I had a c/s.

    My FS said with the grade that I had, it was very rare that I didn't have any bleeding until 32 weeks, he said it was more common to have bleeding (even if it's just spotting) from 28 weeks onwards.

    My advice would be to take it easy (do as little as possible!) - and definately have the household organised to be without you for a few weeks!
    The only other thing I can say is that you need to get to a hospital or phone them at the very least at ANY sign of bleeding at all.
    My FS wanted to have me in hospital from 30 weeks on, but for us it just wasn't possible... look after yourself

  3. #3
    Registered User

    Mar 2011
    Melbourne
    948

    thank you hollybolly my ob wants me in hosp at 34 weeks and midwifes explained why

    people seem amazed ive had no bleeding especially the tech at my 20 week scan so i take everyday as a good day until i do have a bleed

    my midwife warned me last night from 28weeks bleeding is more common

  4. #4
    Registered User
    Add teresa on Facebook

    Mar 2009
    wagga wagga NSW
    1,489

    i started spotting at 30 weeks then had a big bleed at 34 weeks. i previously hadnt had any bleeding until then. i was the same as you. everyone was surprised that i hadnt had any bleeding

  5. #5
    Registered User

    Mar 2011
    Melbourne
    948

    its good that there were more woman with grade 4 who didnt bleed til after 28 weeks

    the other question i got asked was did i have any pain???? i kept saying no cause she(midwife) asked with the bleeding
    but ive had pain down there especially after walking(even short ones) didnt think anything of it so ill be asking again at my next OB appt if the pain im getting is normal but also i know what questions to ask during my U/S next week

  6. #6
    Registered User
    Add teresa on Facebook

    Mar 2009
    wagga wagga NSW
    1,489

    i always had pain but i think mine were more of bh then anything else. i knew when i had done too much coz i would have to rest from the pain.

    i hope things work out for you xx

  7. #7

    Apr 2009
    central coast
    2,298

    with my grade 4 PP i didnt bleed until 37 weeks and it was from going nuts with house work i was in hospital for 3 days went home for a few days then had a c section at 38+2 weeks my PP was totally covering the os up until 36 weeks when it moved slightly and ended up 7mm from the os after the c section the specialist said it was half anterior and half posterior which make the different u/s results make sense she said the placenta started at the front and went under bub and wrapped around the back she said most unusual postion and it turned out bub had her cord around her neck so very lucky we had a c section.
    My doctor cant believe i had no bleeding until 37 weeks so i guess everyone is different.

  8. #8
    Registered User

    Mar 2011
    Melbourne
    948

    im just hoping my cervix remains closed until my c-section

    i keep reading women with placenta previa should rest alot especially with there legs elevated to encourage the placenta to 'move' and less likely to bleed
    but from what ive read it makes no difference

  9. #9
    Registered User

    Mar 2011
    Melbourne
    948

    MY PLACENTA HAS MOVED IT IS NOW 1CM AWAY FROM MY CERVIX
    best news ive had in a looooooooong time chances of a natural birth is HIGH HIGH HIGH it should continue to move and be totally clear!
    i see my ob on monday but chances of me going in at 34weeks is so so so slim
    so now its a grade 2