Don’t Panic If Your Doctor Sends Your Placenta to Pathology

It’s been about six and a half years since I first thought about childbirth and everything that comes with it. In that time, perspectives have shifted significantly regarding the topics we discuss, especially the less glamorous aspects that follow the birth. I’m not talking about the tearful, beautiful moments with your newborn snuggled in your arms. Instead, I mean the part your doctor probably mentioned but brushed over as if it were no big deal. Maybe it’s just me, but I was definitely aware and somewhat bewildered by why the nurse was poking around my abdomen right after I delivered a 10-pound baby. (Okay, maybe “attacking” is a bit dramatic.) The second time around, I was better prepared and a tad more patient. If you must prod away, I thought, don’t take my death glares personally—this is just my least favorite segment of the whole delivery experience.

To be honest, I’m not sure what happened to my placenta after it was delivered. Some parents choose to donate them, plant them, or—believe it or not—some even consume them! Not my thing, but I get that some do it for supposed benefits like alleviating postpartum depression. The scientific backing for this is still debated, but whatever your plans are for the placenta after welcoming your little one, don’t stress if it gets sent to pathology first.

Why Might Your Placenta Be Sent to Pathology?

Your placenta has been a nurturing home for your baby for over 40 weeks, performing vital tasks like supplying oxygen and nutrients for growth. If it’s sent to pathology for further examination, there’s no need to worry. Unless otherwise informed, it’s likely just a routine check to ensure it appears healthy and normal.

So, what do normal placentas look like? According to the American Family Physician, variations exist from one mother to another, but several key aspects are examined: size, color, membranes, and the length and diameter of the umbilical cord. These factors can provide your doctor with insights into the health of your pregnancy and your newborn, as well as any potential complications for future pregnancies. Most serious conditions like placenta previa or accreta are usually identified earlier in the pregnancy.

What to Expect After Delivery

It’s crucial that your entire placenta is expelled from your body during delivery. Failing to do so can lead to complications such as infections or hemorrhaging. Your provider will check for any signs of retained placenta and will ensure everything has been delivered completely. They will also visually inspect the placenta for any abnormalities. Once that’s confirmed, it can be sent to pathology for a more thorough analysis, allowing you to relax while the nurses take care of any necessary stitching. Don’t worry; it sounds worse than it feels. You’ve just given birth, so you’re practically a pro! For those who have undergone a C-section, similar procedures will apply.

According to Dr. Smith, a fetal surgery specialist, the pathology team will look for signs of abnormalities such as calcification or clotting, which are not typical for a healthy placenta. Factors like genetics or pre-existing conditions can influence these issues. Since ultrasounds don’t always catch everything, examining the placenta can provide essential information for both the current pregnancy and potential future ones.

Each pregnancy is unique, and so is each placenta. While some factors are beyond our control, there are steps you can take to promote a healthy pregnancy: avoid smoking, refrain from drinking, and try to manage your stress levels. Most importantly, maintain open communication with your healthcare provider. You might even be too busy snuggling your new baby to notice the commotion around you. Enjoy those precious moments with your little one—far more fulfilling than those bizarre pregnancy cravings!

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Summary

While it’s common for doctors to send the placenta to pathology for examination, there’s usually no need for concern. The examination is often routine, aimed at ensuring the placenta’s health and providing insights into both current and future pregnancies. Open communication with your healthcare provider and understanding the process can help ease any worries. Focus on the joy of welcoming your new baby!