by laura (5139 Posts), Sat Apr 03, 2004 09:22 am
Hi Nichole, I'm so sorry that you're going to have to go through this, and I'm sorry that this process isn't making things any easier, but I hope that perhaps some perspective will ease your concerns some.
I do remember Anne, our executive director mentioning that *EVERY* woman who has developed preeclampsia will have clots found in their placenta, as it is part of the disease process.
The way that they're starting to think preeclampsia emerges is during the part of pregnancy where the placenta develops and implants in the uterus. The newest science indicates that we may lack a certain protein that helps the blood vessels grow to nourish the placenta- so all the vessels that attach the placenta and feed it don't work right from the beginning. So (again) *ALL* of us are going to have some degree of placental problem.
Does the pathology report mention the color and grade of the placenta? That's the quickest way to assess the health of the placenta, and any infarcts or places where the placenta wasn't working should have been noted. It's possible that your placenta may have been troubled, without it being the cause (directly) of Hunter's passing.
Another area I would look further into would be if they had done any assessments of your amnioic fluid before you delivered. Low amniotic fluid is a complication that can come from hypertension, and if it gets too low, many docs will deliver the baby because the risk of cord accidents is too great. When the amnioic fluid is gone, there is no cushion for the baby when he moves, when you have contractions, etc, and it is possible for the baby to sit on or compress the umbilical cord, cutting off their oxygen supply. My second baby was delivered a month early because my fluid had dropped too low.
Did you have preeclampsia or hypertension? When was your last ultrasound? Were they doing any non-stress testing or biophysical profiles? Those are the things I would look for in your records, to see if there was any sign of what would happen. I hope you will find what you need to find some degree of peace. Please feel free to email me at firstname.lastname@example.org if I can be of any help.
Mom to Alicia (severe PE) 5/98 and Camille (htn, oligo) 4/03