Problem pregnancy - what could have caused....?

Question

I almost miscarried at 16 weeks, but after a week in hospital they sent me home.

The problem is a 5 cm hematoma close to my uterous, and I have also been diagnosed with placenta previa.

I'm 27 weeks now, and I have had no further bleeding but I have had scans every 2 weeks. The hematoma is still there, and I'm worried my baby will come early.

Has she got a good chance of survival if she was born at 27 weeks?

Also, could anyone tell me what sort of thing could have caused the hematoma? I can't remember having a fall or anything and I'm not sure how I got it!

Thanks! ;-)

Answer 1

My first pregnancy was similar to yours and I ended up in the ER twice during the second trimester due to the heavy bleeding. They were sure I was miscarrying. They were wrong. Anyhow they were positive my son would be a preemie...again they were wrong.

I kept a chart next to my computer of baby survival rates week by week and it gave me a bit more comfort as each week passed.

The site with the original chart is no longer there but I found another one for you:

http://www.meriter.com/living/preemie/survivalnew/survival.htm

Completed Weeks of Gestation at Birth
(Using last menstrual period) Survival
21 weeks and less 0%
22 weeks 0-10%*
23 weeks 10-40%
24 weeks 40-70%
25 weeks 50-80%
26 weeks 80-90%
27 weeks >90%
30 weeks >95%
34 weeks >98%


I hope this helps and gives you some comfort.

Oh by the way, we never found out what caused mine either but we did find out after the baby was born and they did the placental pathology report, my placenta had also had a stroke or two and was partially dead. You never know what is happening so I hope you are really taking it easy.

Answer 2

Pregnancy in itself can cause a change in your clotting system so even a minor (unnoticed bump) could cause a haematoma. As for the pregnancy?? At 27 weeks your baby definately has a good chance of survival but not without risks to it's health ie hearing, sight, respiratory developemnt. If you make it to 32 weeks you will be much better off. Hope you find this info somewhat helpful & best of luck hope you get close as possible to term.

Answer 3

I am very sorry to hear about your near- tradgedy. I am not sure of the survival rates, but i do know that hospitals that do NOT have Neonatal Intensive Care Units are able to care for babies who are born at least 31 weeks gestation. Here is something I found on babycenter.com:
How your baby's growing: Your baby is really starting to fill up your uterus. This week he weighs almost 2 pounds and is about 14.4 inches long with his legs extended. He can now open and close his eyes, and he sleeps and wakes at regular intervals. He may suck his fingers, and although his lungs are still immature, they would be capable of functioning — with assistance — if he were to be born prematurely.

Here is something i found on WebMd:
At the end of the seventh month, fat begins to be deposited on your baby. Your baby is about 14 inches long and weighs from 2 to 4 pounds. Your baby's hearing is fully developed and he or she changes position frequently and responds to stimuli, including sound, pain and light. The amniotic fluid begins to diminish.
If born prematurely, your baby would likely survive after the seventh month

Take it easy and Good Luck! Get your rest while you can!!!

Answer 4

Your baby would have a good chance of surviving at 27 weeks, although things would be difficult for a while. The fact that you have made it this far is really good, and every single day that your baby is in there, she is getting stronger.