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Expert Q&A:
Am I being treated properly for complete placenta previa?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
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"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


Am I being treated properly for complete placenta previa?

Answer


Since your doctor is the one who saw your placenta during the ultrasound examination, I think your doctor is the best person to advise you on your treatment. There are different schools of thought about placenta previa treatment, just as there are different schools of thought for treatment of other problems in pregnancy. Some doctors are extremely conservative, and put women with complete placenta previa in the hospital on bed rest. Some feel differently, and have found that if a woman takes it easy and doesn't put anything in her vagina, she'll be fine.

My advice is this: If you trust your doctor, take your doctor's advice. If you have any spotting at all, then call your doctor right away. If something doesn't feel right to you, call your doctor. And remember this especially: If for any reason you should find yourself at a hospital other than the one you planned to use, or with doctors who don't know your history, do not allow anyone to do a vaginal examination. If you really have a complete placenta previa, a vaginal examination could cause bleeding, and could mean the baby would need to be delivered immediately.
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