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Expert Q&A:
What does it mean when they say I have a "grade III" placenta?

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Elaine Zwelling
Answered by Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Question


I recently had a checkup -- I'm being watched for preeclampsia. Anyway, they said my placenta was a grade III. What does that mean? Is it good or bad?

Answer


With the use of ultrasound, physicians are now able to assess the status of your placenta as well as your baby. One thing they've learned is that the placenta goes through stages of aging as a pregnancy progresses. This aging process is labeled as a grade I, II, or III. Each grade, or degree of aging, is supposed to occur at a particular time in the pregnancy. For example, a grade III placenta is fully mature, and ideally should not be seen until after 34 weeks' gestation. It has been found that the placenta may age more quickly when a woman has preeclampsia. Also, the blood vessels (arteries and veins) in the placenta could become constricted, thus decreasing blood flow to the baby. If a placenta reaches grade III earlier than 34 weeks, then your physician will monitor your baby's status to be sure that he is still growing and maturing as he should. You have done the right thing by getting regular prenatal care so that this change can be observed. By following your physician's advice and continuing frequent care, you and your baby can expect a good outcome!

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Member comments
http://answers.yahoo.com/question/index?qid=20061122144942AA7xMUD
A grade III placenta is a mature placenta. It will not have any effect on the fetus. However, normal..

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