Complete Placenta Praevia

I posted a couple of weeks back when I first found out (at 16 weeks) that I had a low lying placenta that was covering baby’s exit. I’m the type of person that likes to mentally prepare for all scenarios, yet I can’t find any information / get an answers about scenario #3… Bit of background: 3rd pregnancy (19+1). Previous 2 pregnancies I went into spontaneous labour and PROM at 32 weeks. Due to this, I’m under the pre-term clinic as high risk of another prem labour. At my first appointment (16 weeks) my cervix measured shorter than they’d like and told me about my placenta. Currently on 2x daily progesterone and fortnightly scans. I know I’m still quite early and I’m hopeful that my placenta will move up as I get bigger, as I know most people’s do. However, I still want to be prepared for all scenarios. #1 - placenta moves up, can have a vaginal birth. #2 - placenta doesn’t move by 32 weeks and I’ll be booked for planned C-section at 36/37 weeks (and manage to carry until then). #3 - placenta doesn’t move by 32 weeks AND I go into spontaneous prem labour (around 32 weeks again / before planned section). Just curious if anybody has ever experienced #3. Placenta DIDN’T move AND spontaneous prem labour BEFORE planned c-section (especially if you’ve previous had prem labour) What happened? I’m assuming it’d be emergency section if you was just going about everyday life when it happened. Or, did they admit you at 32 weeks just incase? Prem labour alone doesn’t worry me, nor does the placenta praevia alone. It’s the two factors combined considering my previous history, I’m worried I won’t have a plan of care in place / won’t make it to hospital in time (higher risk of haemorrhage). If you’ve read this far - Thankyou! 😂 and apologies for seeming like a broken record after my previous post 🙈
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Hi! Yes emergency C Section. They would scan you again at 32 weeks and then monitor you (I want to say but not 100% sure about the timings) weekly. I had a scan at 35 weeks that confirmed my placenta was still low and that night I started bleeding so was admitted and they kept me in until they delivered him at 36 weeks exactly. My cervix was checked daily and I was monitored pretty much round the clock. Thankfully I didn’t go into labour but I had all the paperwork sorted when I was first admitted because it would have been an immediate emergency section if my waters had broken x

@Katie Thankyou 😊 this is my first obvious thought too. Just curious whether they do admit people in this scenario rather than risk them having to travel to the hospital for an emergency section knowing there’s an increased risk of haemorrhaging 🤔. Probably should also have mentioned I need extra meds etc during labour due to a heart condition (previous open heart surgery) so another factor to throw in 😂. I know the medical staff are all fab and highly trained - and it is probably just me overthinking. Doing my best to not think about it until I’m further along as it might not even result in a section at all, but obviously it’s naturally causing some anxiety whilst I try and process all scenarios xxx

@Gemma thankyou!! This has instantly made me feel more reassured. Even though in my head I’m thinking ‘surely they’ll admit me if they think I could go into labour at anytime’, I guess I just needed to hear from someone who has been admitted in a similar scenario. The thought of anything happening at home / work (I was in work when it happened with my previous two 🙈😂) and then having to travel to hospital knowing I need an emergency section is what was concerning me. I’d feel so much better if I was already there and staff were familiar and prepared in advance for anything happening xxx

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