Minutus

.... of I remedy which could move the placenta higher in a patient? I wouldn't have thought it could be done. I presume it is near the cervix and she may not be able to deliver naturally. I have told her that a Caesarean isn't the worst thing in the world if she has to have one. She is Type 1 diabetic and therefore likely to have a larger than average baby.
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk

Just my two cents, but I wouldn't even *try* for a natural delivery under those circumstances. I'm a Type 1 diabetic, and typically, due to the size issues and possibility of stillbirth, most Type 1 diabetics are induced early (generally 38 weeks). Some women respond well to early induction, and some (including me!) don't. In my case, two attempts (that is, with two different children) at early induction failed, and I ended up having C-sections both times.
With the placenta so low, I personally wouldn't want to risk an induction (even assuming it would "take"), since the induction drugs usually cause much stronger and more intense labor. Even assuming you could get the placenta to move, I would tend to assume a degree of instability in the placenta--an instability that induction drugs could adversely affect. Even if she wasn't induced, from what I understand, a diabetic mom's placenta tends to degrade faster than most at the end of pregnancy (which is part of the stillbirth risk). In combination with an already unstable placenta, I just wouldn't want to take that risk.
Cee

I'm glad you said that Cee because it is what I feel as well!! She is an osteopath and medically very well informed but I am not sending her your reply because she was very nervous about getting pregnant to begin with , let alone a birth because some idiot doctor told her when she was aged 12 that if she ever got pregnant she and the baby would die because of the diabetes. She is now 28 weeks and everything is fine. She is being given scans every 2 weeks to check on the size of the baby and it is only very slightly bigger than expected. She looks as if she has put on very little weight except baby weight and is very fit and healthy.
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk

As the uterus grows from the base, the placenta naturally climbs up
the wall during pregnancy so you might not need to do anything. I've
twice had low lying placenta, once with bleeding and once without, and
both cases resolved naturally with uneventful vaginal births. (Well
MEDICALLY uneventful.)

Low lying placenta is actually one of the areas where the allopaths
have assembled some really good numbers allowing the practice of
evidence based medicine in the c/section vs vaginal birth decision.
The key questions for your client are 1) how many weeks pregnant is
she? and 2) how many millimeters is the placenta from the os? IIRC at
time of delivery it's something like only .5 cm difference between
over 75% off attempted vaginal births ending in cesareans and 20%
resulting in cesareans. Effacement also helps boost the placenta out
of the way.

If you can't google the relevant studies, lmk and this weekend I can
dig through my old files for them.

~Cheryl

P.S. I've never read any research on it but at conferences I've heard
midwives speak of significantly different outcomes in low lying
placenta cases based on whether the placenta was anterior or
posterior... I just don't remember which was associated with less
bleeding.

Thanks for that Cheryl- I will pass it on to my patient who is 28 weeks pregnant.
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk

Rochelle,
The idea that Type I diabetic woman can't safely have healthy babies is such very old news (my kids were born in the 90s, and "safe" wasn't new, even then). Diabetics are encouraged to stay in much tighter control than they used to be, and diabetic moms are monitored very carefully throughout pregnancy, with C-section as an option if anything looks "iffy". So my concern is less that she is diabetic and more that a misplaced or unstable placenta is inherently risky in induced labor.
The one thing she *must* do, if she has a C-section, is keep maintaining her own blood sugar control--she should not trust, let alone depend on, the hospital staff to do that. If she keeps her blood sugar in control, and doesn't have any pre-existing diabetic complications, there's no reason why her risks should be particularly higher than any pregnant woman with the same issues (i.e., the placenta placement)
Cee.

Dear Cee,
Thanks for that. She has a diabetic pump and is controlling fine except for when she has had 2 faulty canulas and the insulin wasn't getting in. Although she panicked about it it was only for about 4 hours each time so personally I don't think much harm will have been done. She is a aware that she knows more about how to control her blood sugar than hospital stuff and her husband who will be with her has now been trained on the pump use for when she is in labour.
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk

Caullophyllum 30C is helpful in cats with weird presentations. You
might look into details on that remeddy?

.........Irene
--
Irene de Villiers, B.Sc AASCA MCSSA D.I.Hom/D.Vet.Hom.
P.O. Box 4703 Spokane WA 99220.
www.angelfire.com/fl/furryboots/clickhere.html (Veterinary Homeopath.)
"Man who say it cannot be done should not interrupt one doing it."

Oh gosh, Rochelle, at only 28 weeks your client should be fine. The
uterus grows a lot 32-37 weeks so the placenta should be much further
out of the way at the time of birth.

Here's an article that states 90% of placenta previa diagnosed at 20
weeks (not mere low lying placenta like your client has) resolve
spontaneously during pregnancy. I think the pictures and tables are
particularly effectively at communicating the situation. Just keep in
mind your client has low lying placenta *not* placenta previa.
http://www.aafp.org/afp/20070415/1199.html

I asked a MW apprentice friend of mine about the anterior/posterior
low lying placenta thing. She said much of it depends upon the baby's
position at time of birth but also anterior placentas tend to grow up
the uterus faster than posterior placentas.

I'm including references to two journal articles from my paper files.
If they're not available on line it should be easy enough to get
photocopies from a medical library.

HTH.

Take gentle care,
Cheryl

BJOG. 2003 Sep;110(9):860-4. Links
Placental edge to internal os distance in the late third trimester and
mode of delivery in placenta praevia.Bhide A, Prefumo F, Moore J,
Hollis B, Thilaganathan B.
Fetal Medicine Unit, Academic Department of Obstetrics and Gynaecology,
St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK.

OBJECTIVES: To correlate transvaginal ultrasound findings with mode of
delivery in cases of placenta praevia. DESIGN: Cohort study. SETTING:
A London Teaching Hospital. METHODS: Retrospective review of all cases
of placenta praevia diagnosed by transvaginal ultrasound between
February 1997 and March 2002.
MAIN OUTCOME MEASURES: Likelihood of vaginal delivery and major
obstetric haemorrhage.
RESULTS: A total of 121 pregnancies were studied with a mean
scan-to-delivery interval of 10.5 days. In the 64 women who laboured,
the likelihood of vaginal delivery rose significantly as the placental
edge to internal os distance increased. Caesarean section rate was 90%
when the placental edge-internal os distance was 0.1 to 2.0 cm,
falling to 37% when this measurement was over 2.0 cm (P 2 cm. The term "praevia" should be
restricted to cases where the placental edge is < or =2 cm from the
internal os, as the likelihood of operative delivery and significant
postpartum haemorrhage is high. Cases where the placenta is more than
2 cm from the internal os have a greater than 60% chance of vaginal
delivery and should be defined as "low lying" in order to reduce the
clinician's bias towards operative delivery.

Am J Obstet Gynecol. 1991 Oct;165(4 Pt 1):1036-8. Links
What is a low-lying placenta?Oppenheimer LW, Farine D, Ritchie JW,
Lewinsky RM, Telford J, Fairbanks LA.
Department of Obstetrics and Gynecology, Mount Sinai Hospital,
University of Toronto, Ontario, Canada.

Transvaginal ultrasonography was performed in 127 women thought to
have placenta previa. In all cases of complete previa, placental
location was confirmed at cesarean section. Where the placenta was
situated in the lower segment of the uterus but did not cover the
cervical os the distance from the placental edge to the internal
cervical os was measured. This distance was analyzed in relation to
the route of delivery. No patient with a placental edge greater than 2
cm from the internal cervical os required cesarean section for the
indication of placenta previa, whereas seven of eight patients with a
distance of less than or equal to 2 cm underwent cesarean section
because of bleeding characteristic of aplacenta previa. These
preliminary results suggest that transvaginal ultrasonography
measurement may indicate the optimal delivery route and make the
traditional classification of placenta previa obsolete.

Thanks for that. I have sent it to my client who is an osteopath and therefore medically trained!!
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk