Log In Sign Up

Placental Infarction


Forum: High Risk Pregnancy

Notices

Welcome to the JustMommies Message Boards.

We pride ourselves on having the friendliest and most welcoming forums for moms and moms to be! Please take a moment and register for free so you can be a part of our growing community of mothers. If you have any problems registering please drop an email to boards@justmommies.com.

Our community is moderated by our moderation team so you won't see spam or offensive messages posted on our forums. Each of our message boards is hosted by JustMommies hosts, whose names are listed at the top each board. We hope you find our message boards friendly, helpful, and fun to be on!

Reply Post New Topic
  Subscribe To High Risk Pregnancy LinkBack Topic Tools Search this Topic Display Modes
  #1  
March 7th, 2010, 10:41 AM
Super Mommy
Join Date: Apr 2009
Location: CT
Posts: 982
Anyone have experience with placental infarction or subsequent pregnancies after having one? As far as I know this pregnancy is going well and baby and I are healthy. But At my 18w ultrasound the doc I saw was from the perinatologist group I saw with Joey's pregnancy (was high risk because he had a 2 vessel cord and an omphalocele) and she told me that she looked over my notes and there was an infarct on his placenta. I am now 26w and this has been weighing on my mind heavily lately as I approach the 3rd trimester.

A placental infarction is an area of dead tissue on the placenta. It can lead to low birthweight (Joey was only 5lb2oz at 40w) and after just reading some other studies realized that it actually can cause stillbirth. I don't know how big the infarct was as I haven't seen the path report...but after thinking more about it I'm going to request them.

One cause of infarcts are pih...which I had. With ds1 I had high blood pressure (only slightly elevated but lots of swelling) around 32-33w then was fine the rest of the pregnancy. With ds2 I had high blood pressure (138/90) at my 38w appt and protein in my urine. After half hour of laying still it was like 13_/100 (one thirty something i forget) and I was sent to the hospital to be monitored. After 5hrs and peeing in a cup more times than I thought I had the pee for (the only funny part of the night) my pressure was still 130/85 and I was sent home with a 24h urine kit. I asked about being induced, they refused. I asked about bedrest, they said i didn't need it. I asked about work...they said it wouldn't matter but my mom *made* them write me a note to stop working. Not for nothing, but with my regular ob at 33w my bp was 135/85 and i was immediately put on bedrest for a week. I feel there were many things done during my pregnancy....or I should say...not done or ignored that could have prevented our stillbirth.

I'm not exactly sure what I'm asking here....just wondering if you guys know the stats on this sort of thing repeating in subsequent pregnancies. Especially with the stress of this being the pregnancy after a stillbirth, I'm very worried about PIH again...and in turn, about the health of the placenta. Any thoughts?
__________________
Kathryn
Married to my best friend Tom since 2004 (together since 1999)
Mommy to two little boys:
Jamie ~ 7-12-04 ~ fun, crazy, transformer loving tough-guy mama's boy
and
Joey ~ 4-4-09 ~ born sleeping ~ held under my heart for 40wk1d, in my arms for just 6 short hours but he will be in my heart forever
And finally holding my little girl,Felicity Rose, Born into Daddy's loving hands on June 9, 2010

Reply With Quote
  #2  
March 8th, 2010, 02:05 AM
Mom.to.PinknBlue's Avatar Platinum Supermommy
Join Date: Jun 2009
Location: Lame-o Illinois
Posts: 12,234
I have no information for you, but I hope that Rebecca can help! I am sorry you are being stressed out about the possibilities!

*hugs*
__________________
Amelia: Wife to Ryan, Mama to Harleigh, with a boy on the way
Reply With Quote
  #3  
March 8th, 2010, 07:15 AM
Mama Chemist 73's Avatar Mega Super Mommy
Join Date: Oct 2009
Location: Fort Worth, Texas
Posts: 3,933
I don't have any experience with this, but I wanted to show my support. I hope your OB can give you some answers/advice about this so that you don't have to worry so much. As for being able to prevent a stillbirth, if you've gone through one, you always think....what if this and If I hadn't that....or maybe I should have done this....Unfortuntately it won't help our babies who have gone, but it may help ease your mind not to dwell on these things. Hugs
__________________
Sharon - Mom to Theresa, Harvey,& Sarah



My Ovulation Chart
Reply With Quote
  #4  
March 8th, 2010, 11:51 AM
Gaby&Emmy'sMama's Avatar aka NZ-Emma
Join Date: Aug 2005
Location: Christchurch, NZ
Posts: 56,619
I also have no information/advice/experience, but I can definately understand why this would be on your mind. Could you contact your ob & ask for an appt to discuss this??
__________________






Reply With Quote
  #5  
March 8th, 2010, 01:37 PM
Super Mommy
Join Date: Apr 2009
Location: CT
Posts: 982
I tried to talk about it with my midwife today...but it was my least favorite midwife and she's very quiet. She never really responds directly to anything you say. I have an ultrasound on Monday though so they will check growth and placental function etc. She did say that they are going to pay close attention to baby's size this time since Joey was so small which is good.

Thanks ladies.
__________________
Kathryn
Married to my best friend Tom since 2004 (together since 1999)
Mommy to two little boys:
Jamie ~ 7-12-04 ~ fun, crazy, transformer loving tough-guy mama's boy
and
Joey ~ 4-4-09 ~ born sleeping ~ held under my heart for 40wk1d, in my arms for just 6 short hours but he will be in my heart forever
And finally holding my little girl,Felicity Rose, Born into Daddy's loving hands on June 9, 2010

Reply With Quote
  #6  
March 31st, 2010, 04:47 PM
Newbie
Join Date: Mar 2010
Posts: 1
I am brand new here so bear with me. I am searching all over the internet and came across your post. I am not any help but wondering if you can help me. I was just told that I had a Placenta Infraction over the phone and don't meet with my OB until next week. My child was term but is in the NICU right now because of complications from being 4 lbs at birth. Can you please help me find information regarding what exactly this is, incidence, causes, anything? I am at a loss right now and cannot find helpful info anywhere. I would love any links, book ideas, etc that you could provide.
Thank you SO much and best of luck with your pregnancy!!
Reply With Quote
  #7  
March 31st, 2010, 06:08 PM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
Join Date: Feb 2009
Posts: 1,842
If you've been searching the internet, I'm not going to repeat the search and bother you with duplicate information, but here is some information I found doing some scholarly searches:

Placental infarction (PI) is often found in women with blood clotting disorders. I would ask your doctor to be tested for the most common blood clotting disorders. For more info about blood clotting disorders, you can go to the thread I created here: http://www.justmommies.com/forums/f1...disorders.html (Blood Disorders)

PI is also more common in women with blood pressure problems and a particular kidney problem (glomerulonephritis). (This info came from a study in 1977, so info may have changed.)

The most common complication for babies from PI appears to be IntraUterine Growth Retardation (IUGR). There is a wealth of information on IUGR available on the internet, and since your little one was small at birth, you may want to research IUGR and ask your doctor about it.

I'm sorry that your little one is struggling right now. JM has a fantastic Preemie/NICU board, and I'm sure the ladies there can really help with your questions and give you support.

I'll keep looking for more info.
__________________



Thank you Vicki for my awesome siggy!!


Reply With Quote
  #8  
April 1st, 2010, 11:33 AM
Super Mommy
Join Date: Apr 2009
Location: CT
Posts: 982
I sent a pm with the info i have as well. Just wanted to add that definitely ask to be checked for the clotting disorders, but mine came back all normal (just to give you hope). I think mine was caused by blood pressure as I did have some issues late in pregnancy, also had bp issues in my first pregnancy.

Hoping your little one stays strong!
__________________
Kathryn
Married to my best friend Tom since 2004 (together since 1999)
Mommy to two little boys:
Jamie ~ 7-12-04 ~ fun, crazy, transformer loving tough-guy mama's boy
and
Joey ~ 4-4-09 ~ born sleeping ~ held under my heart for 40wk1d, in my arms for just 6 short hours but he will be in my heart forever
And finally holding my little girl,Felicity Rose, Born into Daddy's loving hands on June 9, 2010

Reply With Quote
  #9  
April 14th, 2011, 09:29 AM
Newbie
Join Date: Apr 2011
Posts: 1
My son's birth involved complications resulting from placental infarctions. I never experienced any complications during my pregnancy. It wasn’t until one evening when I was at 38 weeks that I noticed my son was not moving as much as he normally did. They tell you that this is normal towards the end of your pregnancy, but I couldn’t help but feel something was up. I called the hospital and the nurse basically told me it was up to me whether or not I wanted to come in to be evaluated. To be safe I went in and within what seemed like minutes after arriving I was signing papers for them to perform an emergency c-section. 20% of the placenta was not functioning. I had several nurses and doctors had I not acted as quickly as I did my son would not be here today.

After his birth, my ob ordered a number of blood tests to ensure I did not have a clotting disorder – which I do not. And she told me that with my next pregnancy I will be monitored more closely in terms of ultrasounds to ensure the placenta is function correctly, and perhaps even anticoagulant therapy that could be as minor as taking a baby aspirin every day to a stronger prescription type regimen.

Through my digging I have found that much like I was told doctors don’t know why the infarcts occur. I found this article in the British Medical Journal that seemed to support my doctor’s approach to my future pregnancies.

I hope my story helps and I pray for anyone that is dealing with this issue. The one thing I took from this experience is to trust your instincts, if something isn’t right have it checked out and if you’re not confident in the answers you receive don’t hesitate to go elsewhere.
Reply With Quote
  #10  
May 5th, 2011, 03:30 PM
Newbie
Join Date: May 2011
Posts: 1
My first pregnancy with my son in 1998 was uneventful until my 34 week appointment. I measured a bit smaller than expected so my doctor had me do a stress test. They sent me home and I ended up going into labor a few days later. After an amnio to test lungs I was taken off medication to stop my labor and my son was born an hour later at 3 lb 10 oz. I was told that the placenta was very small and part of it had died. Later found out this was called a Placental Infarction. My doctor reassured me this had nothing to do with any future pregnancies. I don't remember having PIH.

In the last year I have had one pregnancy with a baby that ended up having Trisomy 18 and terminated at 14 weeks. Since then I have had 3 pregnancies all ending in miscarriage at 6, 4 and 9 weeks. I had several blood tests prior to my last pregnancy, including genetic testing and several blood disorders. I was put on progesterone suppositories, baby aspirin, chinese herbs, liquid iron in addition to prenatals.

I am going to see a specialist in a couple weeks but am really feeling like whatever was going on with my first pregnancy with my son is a factor in what is happening now. I hope they can figure it out and am able to have a healthy pregnancy and baby soon.

I was just wondering if anyone has had a similar experience or been told that after having one baby with a placental infarction that next pregnancy would likely be an issue as well.

Thank you and good luck to all of you out there!
Reply With Quote
  #11  
May 24th, 2011, 07:13 AM
Newbie
Join Date: May 2011
Posts: 1
I wasnt as lucky as the others who had placental infarct. I was 38 weeks pregnat with my 3rd baby, which was a girl. Her name was Jacey. I went into the hospital with decreased fetal movement as well, but when we got there she had a strong heartbeat, but as the night went on her heartrate dropped and they had to put me on oxygen and IV, but it never returned to normal. The doctor on call apparently didnt think that was concerning because he never came in until the nurses searched for 45 minutes for a heart rate then they decided to call the doctor. Then he came in but it was to late. I lost my daughter on Dec 27, 2010 due to what they called a maternal floor infarct, which is almost the same as a placental infarct but on the maternal floor. My placenta was 80% involved. She weighed 5lb 12 oz and was 17 in long. My blood work has also came back completely normal. Im sorry I dont have any answers I have tried to find out as much as I can so I can understand this better but noone can seem to find me any.

Last edited by mrsdixie2002; May 25th, 2011 at 10:37 AM.
Reply With Quote
  #12  
September 4th, 2011, 01:14 PM
Newbie
Join Date: Sep 2011
Posts: 1
We lost our son at 35 weeks one month ago. The doctors found that the placenta had infarctions on the maternal side of 10-20%. They are not sure if it's linked but that's the only thing we have to be explain the stillbirth outcome. We are devastated. My son's movements had changed in the last month from less kicking to more stretching and rolling and I kept asking everyone if this was ok, including my midwife. I was constantly assured that movement changes in the 7th and 8th month because they have less room. NOW I WISH I HAD GONE FOR AN U/S. I cant help but feel so guilty about not paying closer attention and not asking more questions about this. But once you clear it with your midwife - a lot of women stop there!

My blood tests came back normal - negative for all clotting disorders. So they are suggesting i could take an anticoagulant next time but there are no studies showing that there is any better outcome for women who dont have any blood clotthing disorders.

I'm so stressed about whether to go on them anyways. My concerns are the side effects on myself (dangerous ones that are "rare" - however once you have stillbirth you dont like playing with odds anymore) and side effects on the baby (although they say it doesn't cross the placenta). Also - I'm just SCARED about how to deal with any subsequent pregnancy. This would have been our first child. We were so ready. My life looks like the twilight zone to me. I would love any input from other mothers out there.
Reply With Quote
  #13  
December 19th, 2011, 06:56 PM
Newbie
Join Date: Dec 2011
Posts: 1
I am so glad I found this post. I have lost four pregnancies and have one healthy daughter. My first pregnancy I lost at 5-6 weeks. The second, I lost at 9 weeks. The third, I lost at 22 weeks and had to be induced. All tests have come back normal. I tested negative for any clotting disorders. My fourth pregnancy, around 38.5 weeks I (like previous posters) went in for my weekly appointment and notified my midwives that I had felt decreased movement in the last 48 hours. She ordered a biophysical profile, which we didn't pass (no observed lung movement/breathing). So, we were immediately sent to the hospital for a non-stress test, which I had been having every week during the last trimester. We immediately flunked the non-stress test, and 2 minutes later I was naked with an oxygen mask, told I was being admitted for an emergency cesarean. My daughter's heart rate was crashing. 2 hours later, my daughter was born via cesarean. She only weighed 5 lbs 5 oz, which is small for 38.5 weeks. The cord was wrapped around her chest. I later found out that 15% of my placenta was infarcted (dead tissue). I don't have much evidence as to whether or not it was the cord or the placenta that caused her low birth weight, but I feel very fortunate that she is thriving now at 18 months and is very healthy. For my pregnancy with her, I was on progesterone the first several weeks, baby aspirin and folic acid supplements for the entire pregnancy. The next time I get pregnant, I plan to repeat this regimen and also add Lovenox (blood thinner). I am concerned about the Lovenox since you have to stop taking it before you deliver (I guess so you don't bleed too much?) and I will definitely have to have a repeat cesarean. My midwives/doctors recommend that if I'm able to carry another pregnancy to full term that I have a scheduled cesarean at 38 weeks. I lost my most recent pregnancy very early (at 5.5 weeks). I am fortunate in that I get pregnant relatively easy; my problem is carrying the pregnancies to full term. I really want another child, but am worried about any complications that could arise from this trend in my pregnancies. I'm shocked that at this moment in time, with all of the wonderful medical advancements, this issue (placental infarction) is not studied/documented/understood better. I hope 20 years from now, my daughter won't have to worry about this and that we'll have found a way to treat or prevent this. I don't have high blood pressure (it actually runs low), and I have been tested for just about everything. I have one copy of the MTHFR gene. I am overweight, so part of me worries that this has negatively affected my circulation and that my poor diet/fitness choices are to blame. Takeeling, your post was so similar to my own experience it made me really think about this. I wonder how often this happens.
Reply With Quote
  #14  
December 21st, 2011, 02:13 PM
Platinum Supermommy
Join Date: Mar 2011
Posts: 8,598
I wish I had seen this post so many months ago.

I have 3 healthy children and 2 angels. I have never had a normal pregnancy - my first DD was born at 37w 0d after my water broke spontaneously. My DS was born at 35w 5d after being on bed rest for preterm labor at 32 weeks.

My last baby is my miracle. She wasn't planned (at least not at that time) and took us for a shock. I expected preterm labor (first L &D visit for contractions at 25 weeks), but never expected the last month. I started having concerns about her lack of movement around 32 weeks although I wasn't sure if I was making it up since I had an anterior placenta. I went through many BPP and non-stress tests throughout that last month and usually passed them with an 8 out of 10. I also had many boughts of contractions/early labor. I just in my heart knew she needed to be born sooner rather than later. I ended up carrying her to 37w 4d and failed a BPP miserably (2 out of 10). Luckily she still had a good heartrate, but 118 is not really great. She was born via c/s that night, weighing only 4 lbs 9 oz and 17.75 inches.

Her growth scan at 30.5 weeks was completely on target, but the follow 6+ weeks took a dramatic change. I found out that I had several PI in my placenta that caused her IUGR and my dr doesn't know how much longer she may have had. Also, my blood work is normal - no high blood pressure or clotting issues.

All I can recommend is that you need to trust your gut and insist the drs/nurses/mid-wives listen to you.
__________________
Mom to M (6), K (4), and little rose (18 months)
Reply With Quote
Reply

Topic Tools Search this Topic
Search this Topic:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off



All times are GMT -7. The time now is 05:42 AM.



Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2014, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO 3.6.0