Confined Placental Mosaicism - Sybermoms Parenting Forum
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post #1 of 164 (permalink) Old 01-26-2010, 08:36 AM Thread Starter
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Confined Placental Mosaicism

That's what the doctor is diagnosing me with. I have refused the biopsy bc the usual cutoff is 22 weeks, and I am 22.4, and there would be little difference in the way I am being treated. The chance of mc/sb is 2-4% with CVS, and it's not worth it to me.

As it stands, the placenta is significantly smaller than it should be, and it's showing up the wrong color on the u/s. Baby is not being supported by the placenta like she should be. Considering the rate of (or lack of) growth at this point leads the doc to believe it is strictly the placenta and not the baby herself.

And the prognosis isn't the greatest. Doc is certain I won't make term, and he said he would breathe easier when we hit 28 weeks. He predicts baby will be here between 28 and 30 weeks. I am hoping for 32 personally.

If I deliver before 34 weeks I will most likely be going to a center 2 hours from home and M will be at my mil's for the duration. The earlier she is delivered, the longer she has to stay.

However, and it's a big one, baby looks good. Heart, brain, kidneys, cord - all good. And her heart rate was 157. Click here to enlarge
She refused to show her left kidney until the doc came in the room. Click here to enlarge
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post #2 of 164 (permalink) Old 01-26-2010, 08:43 AM
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I'm confused, I thought that could only be dx'd by cvs, not ultrasound, seeing that it is a chromosomal thing. A friend of mine had that, her doctor told her that most babies with this go to term with no problems. I hope you get the same result!



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post #3 of 164 (permalink) Old 01-26-2010, 08:44 AM Thread Starter
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I have to make positive points wherever I can, right?

Well, dh and I ordered the crib, and he's going to pick up the paint for the room tonight.
He is taking tomorrow off to move his stuff down to the toy room, and get the toy room is order.
He is also going to call for flooring estimates. 6 weeks will be here really quick.
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post #4 of 164 (permalink) Old 01-26-2010, 08:47 AM Thread Starter
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He said the only way to dx is definitively was by CVS, but due to the risk of mc/sb we aren't willing to take it. He is dx'ing based on his experience with it, which is extensive.

In my case the placenta never developed to the right size to support the baby, and will begin to deteriorate as we go along.
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post #5 of 164 (permalink) Old 01-26-2010, 08:47 AM
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Sending good thoughts your way, jennyjen. It sounds like baby is going to be just fine but still, not something you want to go through. Click here to enlarge
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post #6 of 164 (permalink) Old 01-26-2010, 08:48 AM Thread Starter
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The chromosomal thing in my case is what is causing the lack of growth in the placenta.

(Sorry, I keep hitting reply too quick)
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post #7 of 164 (permalink) Old 01-26-2010, 08:49 AM
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Best wished for baby staying in as long as possible. Click here to enlarge
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post #8 of 164 (permalink) Old 01-26-2010, 08:56 AM
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Ill pray it can stay in there and stay healthy!!
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post #9 of 164 (permalink) Old 01-26-2010, 09:08 AM Thread Starter
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I am having a hard time finding info on this that I can understand. Hester, or anyone else, if you have any more details I will gladly take them. I need all the optimism I can get.

I go back to my regular OB on Friday so I will ask again then. Dr O speaks medical quite plainly, which will be a big help for this.
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post #10 of 164 (permalink) Old 01-26-2010, 09:17 AM
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Keeping you and baby in my thoughts!
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post #11 of 164 (permalink) Old 01-26-2010, 09:31 AM
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I'm so sorry the news wasn't better. Click here to enlarge Click here to enlarge But it is great that your baby is looking good and you are sounding very calm, what with the focusing on the positive, making a plan, etc.

"Hands that help are far better than lips that pray."

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post #12 of 164 (permalink) Old 01-26-2010, 11:59 AM Thread Starter
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Wren, the plan is the necessity at this point. I've had one in place the whole time. I just need to speed up the time line.

All the baby clothes I already had are washed, folded and stored in M's extra dresser.
This week's check is going toward a the mattress and the swing.
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post #13 of 164 (permalink) Old 01-26-2010, 12:01 PM Thread Starter
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Sigh. I'm tired.

Doc told me to take today off, go back tomorrow if I'm up to it. He thinks work will be a good thing for me. He thinks it will help me take my mind off things.
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post #14 of 164 (permalink) Old 01-26-2010, 12:07 PM
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Click here to enlarge jenny! Click here to enlarge

Very good thoughts for you & that baby staying there till week 32 Click here to enlarge
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post #15 of 164 (permalink) Old 01-26-2010, 12:15 PM
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Huh, I just googled on your behalf and this jumped out at me Click here to enlarge

Quote:
What does CPM mean for a pregnancy?

Most pregnancies that are diagnosed with confined placental mosaicism continue to term with no complications and the children develop normally.
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post #16 of 164 (permalink) Old 01-26-2010, 12:23 PM Thread Starter
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Quote:
Originally Posted by Doodlewig View Post
Huh, I just googled on your behalf and this jumped out at me Click here to enlarge
Thanks Doodle. I saw that too. But the doc was quite careful to mention that I won't make it to term.

I'm going to take that thought and run with it, at least until Friday.
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post #17 of 164 (permalink) Old 01-26-2010, 12:36 PM
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Jen your dr sounds like an asshole.
Any dr that would diagnosis a genetic condition without running the proper tests and then is very careful to mention that you wont make it to term is an asshole.
Sorry, he just is.
Don't stress.

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post #18 of 164 (permalink) Old 01-26-2010, 12:38 PM Thread Starter
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He offered the CVS. We said no. Knowing the chromosomal anomalies of the placenta will not change the outcome, and the risk of stillbirth is way too high.
He said based on what he was seeing and his experience this is what it is.

The placenta will not support baby for the next 17 weeks. Click here to enlarge

I'm not stressing anymore. I do better with details than nothing at all.
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post #19 of 164 (permalink) Old 01-26-2010, 12:52 PM
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Click here to enlarge big hugs. i would have done the exact same thing as you. i hope she bakes for as long as possible.
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post #20 of 164 (permalink) Old 01-26-2010, 01:09 PM
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I think it is very weird that your doctor is so certain you won't make it to term. I'd have a lot of questions about that when you meet with him. Hopefully, you'll get some good answerss.



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