Quoting Will☮Creedence:" He also has thickened heart walls, they don't know the reason but it will affect his breathing no ... [snip!] ... or not but I know it does happen and just wanted to know how common it is in cases where it's already partially abrupted."
I have a couple of theories about why my placenta abrupted during last pregnancy, either it was some complication from the vanishing twin or it had to do with the early dilation/cerclage placement around 12 weeks while i had placenta previa. The 3rd option is that it had something to do with the suspected infection we were getting from pPROM. It could have been any combination of those too.
Anyway, when i started having full blown contractions at the end, things changed pretty quickly and it was very obvious something was wrong. His heartrate went nuts. I got a fever. There was that weird pain that was like contractions, but not.
I don't think there was any real way to predict that it was going to end up like that. It just happened and I was lucky enough to have some of the top dr's in the area watching me closely anyway and a high level NICU upstairs when I delivered.
*If* a situation happens where they decide a c-section is necessary, it's not normally something that's much of a choice. Something goes wrong with labor and then everyone just does what they need to do to make sure the baby is safe.
Yes there are doctors who are lazy and schedule c-sections instead of trying,etc, but that's not what's going on with high risk pregnancies. High risk pregnancies are always balanced on this invisible line where one step to the right and it's less safe to stay pregnant than to deliver. A good high risk dr will know where that line is and do everything in their power to make sure that baby is here safely.