This information is from a program we have at work
called "Up to Date" with medical management info.
Anyway I looked up "marginal previa" or "low lying placenta" and here's what I found --
Low-lying placenta — The occurrence of cesarean delivery in relation to placental location was illustrated by a retrospective review of 121 cases of placenta previas diagnosed by transvaginal ultrasound within two weeks of delivery [27] . Cesarean delivery was performed electively or emergently in 42 of 42 women with placentas that overlapped the internal cervical os (complete previa) or reached the os (marginal previa), in 38 of 40 women with placentas 0.1 to 2.0 cm from the internal os, and in 22 of 37 women when the placental edge was 2.1 to 3.5 cm from the internal os. Emergent deliveries were performed for hemorrhage and nonhemorrhagic indications and were likely biased by knowledge of placental location. Based on these data, and other similar reports [28-31] , there appears to be a reasonable possibility of vaginal delivery without hemorrhage when the placenta is greater than 2.0 centimeters from the internal os.
So right now, as it stands, my placenta is 0.9 centimeters away.
We are hoping it moves away -- as you can see at least 2 centimeters.
I will find out in July at my next ultrasound and go from there.
As for the glucose screening stuff:
my first screening test came back slightly elevated so I now have to undertake:
Three hour oral GTT — We suggest administering a three-hour 100-g oral GTT and using the criteria proposed by the Fourth International Workshop-Conference on Gestational Diabetes, whereby GDM is present if two or more of the following serum glucose values are met or exceeded (show table 2) [25,44] :
Fasting serum glucose concentration >95 mg/dL (5.3 mmol/L)
One-hour serum glucose concentration >180 mg/dL (10 mmol/L)
Two-hour serum glucose concentration >155 mg/dL (8.6 mmol/L)
Three-hour serum glucose concentration >140 mg/dL (7.8 mmol/L)
But I will get this done on Monday so will know what's going on soon.
More later....
Thursday, June 12, 2008
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1 comment:
Take a good book. I had to do the three hour with both my kiddos. No fun but they came back normal.
Keeping my fingers and toes crossed on both counts for you and the little man.
xoxoxoxoxo
Suz
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