We had another ultrasound this morning – our third. The lower edge of my placenta is now 4 cm away from the cervical opening. Our wonderful high-risk OB says I’m in the clear and we only need to come back to him (& plan a hospital birth) if we really really want to.
I’m still pretty confused by all of this – not by where we are now, which seems clear enough, but where we’ve been. I wish that we’d been able to see an image of what was going on in there when I got that first diagnosis of complete placenta previa. We tried hard to find good information on the Web – & the information we found suggested that complete placenta previa (unlike partial or marginal), diagnosed at 20 weeks, is not terribly likely to resolve – and that the placenta is unlikely to move very far once we get much past 30 weeks, especially if it’s on the back of the uterus, as mine apparently is.
I don’t know if I’ve just beaten the odds, or the information we found isn’t very good, or if there just isn’t very good information on these issues. It does seem like all these matters of placental position are being pretty actively studied, so maybe the state of medical understanding of placenta previa is just not that good yet? Or maybe I’m a freak. The good kind. I don’t know.
So suddenly I’m 33 weeks pregnant, which is pretty darn pregnant, with an apparently healthy baby and no particular risk factors. We’re thinking pretty seriously about returning to our plan for a birth-center birth – especially since the local hospital just changed their visitor policy for the maternity ward to exclude anyone under 18 (H1N1 control, allegedly). It would be pretty stressful for Zag, I think, to have me and the baby in the hospital for potentially a couple of days (the hospital doesn’t spring you that quick, even when things go well) and not be able to visit us. We’re still absorbing the news & haven’t made any decisions yet, though…
For a while there I was assuming I’d be having either a C-section or a very medicalized birth, and mentally placing the project of getting this baby out into the world in the hands of medical experts. Now that it looks like there’s no need for that, I’m realizing that the responsibility for that project shifts back to me (and my birth partner Tilt). Instead of treating myself as fragile, it’s time to affirm and develop my strength. My body and I, we’ve got work to do in 7 weeks or so.
Now that I know I’m allowed to walk (waddle?) in the woods, I want to take some walks in the woods and think about what I’ve learned from all this. How it’s different to be here, 33 weeks and all systems go, than it would be to be in the same place without having had the whole previa detour.