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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Hole In The Placenta Be A Matter Of Concern?

Hi,

My wife spotted some bleeding today and we went to our doctor. The doctor advised a scan and the report says the following " Anechoic shadow measuring approx 2.7 x 1.2cm is noted deep to inferior edge of placenta".

Doctor told us there is a hole which is causing the leakage of blood and advised complete bed rest for a week. Its my wife's 1st pregnancy and this is the 13th week going on. The baby is fine and the heart rate is 150 bpm.

Could you pls help me understand what does this exactly mean and what is the risk?



Thanks
Thu, 25 Jun 2015
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OBGYN 's  Response
Welcome to Healthcare Magic! Your problem seems to be rather serious.

The placenta partially separated from the uterus leading to bleeding is not a good sign. Usually such problem arises not so early in the pregnancy. To continue pregnancy for further 23 weeks of gestation is like sitting on a volcano for a long time. It is quite a long period. Every day there is risk of bleeding. You should ask the doctor what is the distance between the inner opening of uterus and the inferior edge of placenta.

Since this bleeding is not dependant upon the physical activities, I have got a doubt how much bed rest is going to prevent the bleeding. The bleeding takes place due to separation of the placenta, which takes place due to the uterine activities - contractions and retraction - which is a continuous process throughout the pregnancy. This activity separates a placental part which is in the lower part of the uterus.

Please ask your doctor the diagnosis of the condition. Does he indicate this as Placenta praevia?

If you decide to continue the pregnancy, please keep the blood readily available in the blood bank. Have you got her Rh blood group typing done? It will play a major role in your decision and management of pregnancy.

Please discuss all these possibilities with your Obstetrician before you take any decision. Try to understand the risk to the life to the pregnant woman from the Obstetrician.

The dictum in Obstetrics is Save the life of the Mother first, she can become pregnant again.

I would appreciate if you share with me the information I have asked for by direct question so that I can get a complete feel of the case and give you still clear and better advice.

Please do not be emotional and take your decision based on the scientific facts and information.
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Could The Hole In The Placenta Be A Matter Of Concern?

Welcome to Healthcare Magic! Your problem seems to be rather serious. The placenta partially separated from the uterus leading to bleeding is not a good sign. Usually such problem arises not so early in the pregnancy. To continue pregnancy for further 23 weeks of gestation is like sitting on a volcano for a long time. It is quite a long period. Every day there is risk of bleeding. You should ask the doctor what is the distance between the inner opening of uterus and the inferior edge of placenta. Since this bleeding is not dependant upon the physical activities, I have got a doubt how much bed rest is going to prevent the bleeding. The bleeding takes place due to separation of the placenta, which takes place due to the uterine activities - contractions and retraction - which is a continuous process throughout the pregnancy. This activity separates a placental part which is in the lower part of the uterus. Please ask your doctor the diagnosis of the condition. Does he indicate this as Placenta praevia? If you decide to continue the pregnancy, please keep the blood readily available in the blood bank. Have you got her Rh blood group typing done? It will play a major role in your decision and management of pregnancy. Please discuss all these possibilities with your Obstetrician before you take any decision. Try to understand the risk to the life to the pregnant woman from the Obstetrician. The dictum in Obstetrics is Save the life of the Mother first, she can become pregnant again. I would appreciate if you share with me the information I have asked for by direct question so that I can get a complete feel of the case and give you still clear and better advice. Please do not be emotional and take your decision based on the scientific facts and information.