Karleen Gribble <[log in to unmask]> wrote:

> I was wondering if anyone had any words of wisdom for a mum who is in early
> pregnancy with a partial placental abruption diagnosed and breastfeeding her
> toddler. She is geographically isolated with limited opportunity for a
> second opinion. Information is below. 
[snip]

"Abruption"? At seven weeks? Without symptoms? It's more likely to be a
subchorionic haematoma, which, as medscape says, is "the most common
sonographic abnormality in the presence of a live embryo".

http://emedicine.medscape.com/article/404971-overview

In the absence of symptoms, which you haven't mentioned: my
understanding is that incidentally-detected early subchorionic haematoma
has questionable or no effect on pregnancy outcome (
http://www.medscape.com/medline/abstract/8437776 ), and I've never heard
of giving magnesium and progesterone for it (is this woman in
Australia?). Prevention of this situation consists largely of avoiding
non-indicated early ultrasonography. Obstetricians around here typically
won't do a booking visit till 12-13 weeks; some till even later.

Perhaps, if there really is no access to a second opinion, this woman
could request a copy of her written file and examine that for more
clues?

Lara Hopkins

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