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Pregnancy

Pregnancy Complications & Subsequent

09/08/2009

Question:

Hi,

I`ve had two pregancies with complications and am wondering about the risks involved in having another.

My first pregnancy my blood pressure was rising, the mucous plug came out at 32 weeks, I had PPROM at 34 weeks and my labour was induced. When the Dr. induced me she told there was protein in my urine.

My second pregnancy I had PIH, an abruption, threatened pre-term labor at 27 weeks, an irritable uterus (I contracted for 12 weeks, up to 18 hours some days), a chorionic hemmorage, and a retained placenta after delivering my son. I was on bedrest for 12 weeks and carried to 39 weeks.

What are the risks of having another abruption? Of PIH? Also, with the retained placenta the cord broke when traction was applied to it (so I had a manual extraction). What causes a cord to break? Could it have been due to the abruption?

Thank you,

Answer:

You are at risk for both another abruption and pre-eclampsia in future pregnancies.  The amount of risk depends on further details in your obstetric and medical history.

Given these risks, it is best if you schedule a preconception visit with a high-risk obstetrician.  Together you can review details of your medical and pregnancy history and be able to counsel you accurately of your risk.

For more information:

Go to the Pregnancy health topic, where you can:

Response by:

University of Cincinnati Arthur T Ollendorff, MD
Associate Professor of Obstetrics and Gynecology
Department of Obstetrics & Gynecology
College of Medicine
University of Cincinnati
Arthur T Ollendorff, MD