Program for Placental Disorders Services

The Program for Placental Disorders provides comprehensive and collaborative care to pregnant women with placenta previa, accreta, increta or percreta. The type of care, and where and when it’s provided, are personalized to your unique situation.
 
Your first Program for Placental Disorders appointment will include a Level 2 ultrasound at one of our Perinatal Diagnostic Centers to confirm your diagnosis. A maternal-fetal medicine specialist (high-risk obstetrician) will discuss your ultrasound results with you during your appointment. Our team will also speak with your obstetrician to discuss next steps.
 

Multidisciplinary Care Planning

Throughout your pregnancy, the Program for Placental Disorders team holds regular case conferences where medical and surgical specialists come together to:

• Review your diagnostic test findings
• Discuss your individual needs
• Discuss the most recent research and outcomes in the medical literature for cases similar to yours
• Develop the best care plan for you and your baby

The case conferences are attended by:

High-risk obstetricians Gynecologic specialists Pediatric radiologists and interventional radiologists  Obstetric anesthesiologists

Neonatologists Transfusion services specialists Placental pathologists Nurses

This ensures that all of the specialty services you may require are continuously aware of your and your baby’s needs.
 

Understanding and Support

Highly trained social workers are important members of our team. They can:

• Help you understand the hospital experience
• Provide emotional support
• Connect you with local resources, including housing

 

Care During Pregnancy

Our goal is for you to stay in your local community for as long as is safe. When the right resources and facilities exist, we can help to arrange ongoing care at a hospital in your community.
 
Ultrasounds and follow-up. Our Perinatal Diagnostic Centers can provide advanced ultrasound services and follow-up from a high-risk obstetrics (maternal-fetal medicine) specialist.
 
Hospitalization during pregnancy. Some women with placental disorders need to stay in the hospital during their pregnancies due to:

• Repeated bleeding or preterm labor
• Lack of transportation to get to the hospital quickly

Should you require hospitalization, you may be admitted to the Packard Children’s Hospital Antepartum Unit.
 

Delivery

The Program for Placental Disorders team will work with you and your obstetrician to build a plan for you to have a safe delivery.
 
You may deliver closer to home if:

• The necessary resources are available to care for you and your baby
• Your obstetrician agrees

In many cases, we will recommend that women with placental disorders deliver at Packard Children's Hospital. 
 
Delivering at Packard Children's Hospital. Our team will help you and your family prepare for your delivery. You will:

• Have at least one appointment with a high-risk obstetrics (maternal-fetal medicine) doctor to create a delivery plan
• Tour Labor and Delivery and the nurseries

A gynecologic specialist experienced in complex pelvic surgery generally will assist a high-risk obstetrics (maternal-fetal medicine) specialist to deliver your baby.
 
A Packard Children’s Hospital Neonatology team will be in the delivery room. The team will provide critical care to your baby from the first moments. Babies who go to the Neonatal Intensive Care Unit (NICU) receive nationally recognized, expert neonatal care.
 
Transfusion services personnel are available and they can make blood products available for immediate use should you require a blood transfusion(s).
 

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