IUGR+ infarcts + PIH +AFP

[lindaso1]

Hopefully you can provide some clarification. My last pregnancy, I delivered at 30 wks after they determined there had been insufficient fetal growth. It started with an elevated alpha feta protein level, SGA, two vessel cord and then I developed PIH. I was put on hospital bedrest with no improvement. Following emergency c section birth, the placenta was found to have multiple infarcts. My doctor thinks that there was something wrong with the placenta all along and that the PIH was a by-product of this, so unlikely to re-occur in my next pregnancy. Have you had any experience with this combination of problems before?

[expert on call]

This combination of problems is not uncommon among preeclamptic women. An elevated AFP is associated with an increased risk for growth restriction and PIH. Patients with PIH are also at a higher risk of developing placental infarcts - most likely resulting from the abnormal circulation present in these patients. The two vessel cord likely was not associated with any of the other problems during the pregnancy.

Expert on Call

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