I can't hardly wait to see and touch my baby. It should've been today (December 8) if not for the result of my most recent ultrasound last Tuesday. Turned out that my baby is not ready to born yet.
According to both my OB-Gyn and my Sonologist, I have a Grade III placenta already but my baby's features seem to be around borderline term only which means that there is still risk that her lungs are not fully-developed yet. Of course, I wouldn't want to take the risk for any reason at all. I want my baby to be safe. So here I am, waiting for a few weeks more. I just couldn't contain my excitement here.
Placental Grading and its Purpose
Placental Grading by ultrasound is a method used to grade a placenta based on its structural changes. It is done to determine the age or maturity of the placenta, assess the fetus' gestational age and to predict fetal lung maturity.
Placental Grading System
Grade 0 - The earliest of the placental grades, usually within the late first trimester to early second trimester. No calcium or fibrinoid depositions were seen and the placental surface was smooth.
Grade I - Mid-second trimester to early third trimester. Some diffuse calcium and fibrinoid deposition.
Grade II - Late third trimester till delivery or around 30 weeks until delivery. Beginning formation of septa, at the maternal side clear calcium deposition.
Grade III - The highest grade. Late third trimester till delivery or around 39 weeks. Cotyledons are present, a great number of calcium and fibrinoid deposition at the maternal and fetal sides, with infarcts and 'holes' by sectioning.
According to both my OB-Gyn and my Sonologist, I have a Grade III placenta already but my baby's features seem to be around borderline term only which means that there is still risk that her lungs are not fully-developed yet. Of course, I wouldn't want to take the risk for any reason at all. I want my baby to be safe. So here I am, waiting for a few weeks more. I just couldn't contain my excitement here.
Placental Grading and its Purpose
Placental Grading by ultrasound is a method used to grade a placenta based on its structural changes. It is done to determine the age or maturity of the placenta, assess the fetus' gestational age and to predict fetal lung maturity.
Placental Grading System
Grade 0 - The earliest of the placental grades, usually within the late first trimester to early second trimester. No calcium or fibrinoid depositions were seen and the placental surface was smooth.
Grade I - Mid-second trimester to early third trimester. Some diffuse calcium and fibrinoid deposition.
Grade II - Late third trimester till delivery or around 30 weeks until delivery. Beginning formation of septa, at the maternal side clear calcium deposition.
Grade III - The highest grade. Late third trimester till delivery or around 39 weeks. Cotyledons are present, a great number of calcium and fibrinoid deposition at the maternal and fetal sides, with infarcts and 'holes' by sectioning.
Final Impressions:
Pregnancy uterine 37 weeks AOG by fetal biometry.
Cephalic presentation, singleton, live female fetus.
Estimated fetal weight = 2,898 GMS. +/- 423 GMS.
Good heart activity - 129 BPM
Active fetal movements.
Adequate amniotic fluid volume AFI = 11.6 CM.
Placenta posterior, Grade III, no previa.
EDD: January 01, 2013.
My OB-Gyn has made it clear to me that a C-Section at the wrong time have a risk of fetal prematurity so accurate timing is of dire importance. With that said, we have re-scheduled my C-Section on December 18th tentatively (I'm around 39 weeks pregnant by then).
So until then. We're all very excited to meet you, Baby Amara!
Pregnancy uterine 37 weeks AOG by fetal biometry.
Cephalic presentation, singleton, live female fetus.
Estimated fetal weight = 2,898 GMS. +/- 423 GMS.
Good heart activity - 129 BPM
Active fetal movements.
Adequate amniotic fluid volume AFI = 11.6 CM.
Placenta posterior, Grade III, no previa.
EDD: January 01, 2013.
My OB-Gyn has made it clear to me that a C-Section at the wrong time have a risk of fetal prematurity so accurate timing is of dire importance. With that said, we have re-scheduled my C-Section on December 18th tentatively (I'm around 39 weeks pregnant by then).
So until then. We're all very excited to meet you, Baby Amara!












