I have a low lying placenta at my 36 week U/S (1.1 cm from
cervical OS measured through transvaginal ultrasound). My OB is not ready to okay an attempt at labor since he wants a 2
cm clearance. I'm really hoping my placenta makes it to that distance (it seems
so close). I'd like to be as informed as possible before I go in for my
OB visit next week in terms of what seems reasonable as far as interventions go.
I have not had a single bleed and have had an active, normal pregnancy. So these
were some of my questions:
> 1) Is 2 cm from OS a reasonable guideline to allow labor? What are the risks
of laboring with a placenta closer in distance (but not a previa) than that? Any studies I could
> 2) My OB has indicated that even if I do get cleared for vaginal birth at
2cm, the labor would be considered high risk. He wants me on an IV and an epidural in
case they need to go to surgery quickly. He definitely wants to administer
pitocin for the afterbirth since, in his opinion, the lower uterine segment does not contract as
efficiently and detachment of the placenta and excessive bleeding may be problems. Are these over the
top? Can I refuse these interventions?
> 3) If vaginal birth is okayed, the OB may be more comfortable with a controlled induction since he
wants a high quality medical staff on hand (I'm due over Memorial Day weekend) .
Again, is this reasonable?
> 4) Finally, how long should I hold out before I agree to a scheduled
c-section? 39 weeks or longer?
> Sorry if I've asked too many questions here. I just want to make sure I'm doing everything I can to
get a chance at vaginal birth. This is my second baby. The first was a vaginal birth. Thanks!