Re: [ozmidwifery] Re:sharing an unusual placenta question - ideas please

[Susan Cudlipp]

Hi Julie If it is joined by a blood vessel it is most likely to be a large succenturiate lobe. Provided this is well clear of the presenting part it should not cause any problems. These are not uncommon. Sue ----- Original Message ----- From: Larissa Inns To: [EMAIL PROTECTED] Sent: Tuesday, July 20, 2004 7:54 PM Subject: [ozmidwifery] Re:sharing an unusual placenta question - ideas please HI Julie! This sound possibly more like a succenturiate (sp?)lobe than two separate placentas. I'm thinking there is a risk of the vessels breaking and subsequent bleeding and also of retained fragments (cotyledons) as far as I know. I have seen one but it was a c/s so I'm not really 100%. The ultrasound picked it up as the placenta being anterior and then a second ultrasound showed it posterior which created confusion until the placenta came out and we realised that it was anterior and posterior as it was like 2 placentas. Will be interested to see what others think. Hugs,Larissa (2nd yr BMid FUSA)   ----- Original Message ----- From: Julie Clarke To: [EMAIL PROTECTED] Sent: Sunday, July 20, 2003 9:23 PM Subject: [ozmidwifery] sharing an unusual placenta question - ideas please Hi all I have been asked an unusual “placenta” question tonight that I hope you can all help me with…   The woman is expecting her first baby – there are no complications or problems with this pregnancy – there has been no bleeding episodes during the pregnancy so far- however the ultrasound has revealed what appears to be 2 placentas joined by a blood vessel. The questions are:  Would we expect there to be a greater risk of 3rd stage complications such as excessive bleeding? Could the blood vessel rupture either during the last few weeks of pregnancy or during the labour, birth or 3rd stage? Has anyone ever encountered this type of situation before and if so what was your experience?   Would this be a strong case for having the Syntocinon injection given routinely? Is there a greater risk of pph?   Warm hug to all, Julie