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Prematurely aging placenta

At my 30 weeks ultrasound, the ultrasonologist told me that I had a grade 2-3 placenta since they spotted some calcification. The doctor did a doppler test and found that the circulation to the fetus was normal, but that there were some hiccups or notching on the left uterine vessel. I was asked to return in 2 weeks for another ultrasound and doppler, the results of which would determine if I needed to be referred to a perinatologist. The baby is thankfully growing well and is considered age-appropriate in size and weight, and my amniotic fluid levels are also normal.

I am not a smoker, drinker, do not have diabetes and have low blood pressure (always at 110/70), although I am 37 years old. This is my third pregnancy, with the second one ending in an early miscarriage. At 19 weeks, I was diagnosed with a low lying placenta resulting in some spotting, and was placed on bedrest. After 7 weeks, my placenta had moved up to a safe distance from my cervix and is now considered high lying.

My OB said that the appreciation of the ultrasonologist is also subjective, but best to be conservative. She is hopeful I will reach 38 or 39 weeks, but I have asked to schedule my CS (due to narrow pelvic bones) at 38 weeks.

Would you know when the placenta is supposed to turn grade 3? What does a grade 2-3 placenta mean? Are my chances of reaching full term good? And what can I do to help my placenta stay intact so the baby gets proper circulation and nutrients?

Many thanks for your advice and help!
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Avatar universal
Thanks everyone for your comments. I have my next doppler and ultrasound on Monday, July 6, so am saying all my prayers that my placenta is holding up well and baby is nourished until I reach term. Am now 31 weeks and 1 day, counting each day till my scheduled CS on August 16 (47 days to go).
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667409 tn?1309152183
Grade 3 is a full-term placenta. But, if I remember right, it's not always a huge problem. They may just send you in for non-stress tests to make sure the baby is doing okay and the fluid level is good. Even if you can get through another 3-4 weeks, you should be fine! Hang in there and take good care of yourself...drink a lot of water and don't do anything strenuous. Good luck!

Tricia
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Avatar universal
If I remembeR correctly grade 2-3 placenta means your in your 2-3 trimester and refers to the age of the placenta.
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419158 tn?1316571604
COMMUNITY LEADER
Im sorry I really dont have any answer for you:( You should really have a serious talk with you doctor and ask all these questions. I know how easy it is to forget questions while at your appointment. It always help me to make a list. Have you googled anything online yet?? Internet can be scary but also very imformative. Maybe some of the other ladies might have some answers for you. Good luck!!
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