High Risk Consult

I was referred to a high risk specialist this week for a consult.  Finally!  I had been waitng for that referral for quite a while.  I am in Canada, so I cannot just book an appointment with a peri - I had to wait until my OB felt that it was justified.  She wanted to wait until 20 weeks.  This, by the way, is one of my biggest pet peeves ever - that so many doctors do not seem to take a pregnancy or any possible complications in a pregnancy seriously until you hit that magical 20 week mark.  Even then, most are not willing to intervene or try to save a pregnancy until viability (24 weeks).  It drives me nuts.  I mean, it seems to me that the fact that the baby will not make it if he is born that early should be all the more reason to try to prevent early delivery.  Anyway, moving on...

I saw the high risk doctor yesterday.  There is both good news, and confusing-potentially-concerning news.

The good news is, the hematoma is gone.  Yay, right?!  

But wait a minute....so why am I still bleeding then?  And why do I still have these cramps everyday?  

I saw the high risk doctor for all of thirty seconds after the ultrasound.  He told me the good news, and then said, "But, your placenta is unusual."  What does that mean, I asked?  "It is unusually thick.  That could be why you are still bleeding."  Again I asked, what does that mean?  He then said I should speak to my OB.  Great.  Thanks.

I called my OB's office and explained what happened, and asked to make an appointment.  My OB called me back personally within 10 minutes.  She was able to access the ultrasound report, and explained that she was "not concerned."  The baby is fine, the hematoma is gone.  My placenta was normal on all other ultrasounds.  She made it sound as if its thickness is just on the high end of normal.  She will give me another ultrasound, but said that I am now "low risk".  

So why am I still bleeding??????

According to my OB, it might just be my cervix.

So I am left with two different opinions from two different doctors.  One who I trust very much, but who is not herself a specialist, and who has not yet read the specialist's report.  Another who is a specialist, but who gave me very little in the way of meaningful interpretation, or any indication of a prognosis.

So, being the person I am, I could not stop myself from googling,  BIG mistake.  Apparently, a thick placenta is a sign of many scary things, most notably placenta abruption.  The exact thing I have been worried about for months.  Bleeding is of course also a sign of that, and so are these cramps.  The hematoma itself could have been caused by it.  Obviously not a full abruption, but perhaps a partial one.  Apparently, they are not easy to see on ultrasounds unless there is a large retroplacental hemorrhage.  Otherwise, it may present only as an unusually thick placenta.  Great.

I have another appointment with my OB in a few weeks, at which point she should actually have the high risk doctor's report (which will presumably contain an explanation for why he thinks the thick placenta was concerning, and that he suspects that it might be the cause of the bleeding).  I will have another ultrasound at that point, and we will go from there.  In the meantime, I am going to try to listen to my OB on this one, and not worry too much or freak out (I swear).  Bug is still with me, and doing great.  I feel him everyday now.  We both love him so much already.