Re: Placenta percreta

From: art fougner, md (evsono@pipeline.com)
Sun Jun 20 08:22:21 2004


Anna -

have you encountered many women in your practice requesting elective primary sections?

art

At Sat, 19 Jun 2004, Anna Meenan, MD wrote: >
>Or try to avoid doing that elective c-sec in the first place, or at the
>very least, add the doubled risk of stillbirth to your elective primary
>c-sec informed consent.
>
>--
> Anna Meenan, MD
>
>At Sat, 19 Jun 2004, RModugno@aol.com wrote:
>>
>>In a message dated 6/19/2004 7:32:54 PM Eastern Daylight Time, annam@uic.edu writes:
>>
>>> Women having
>>> cesarean delivery are more likely than those delivering vaginally to
>>> have an antepartum stillbirth in their second pregnancy. The major
>>> reason is an excess of unexplained stillbirths. Possibly ligating major
>>> uterine vessels affects uterine blood flow in later pregnancies. Another
>>> possible explanation is abnormal placentation secondary to
>>> the uterine
>>> scar.
>>>
>>> Anna Meenan, MD
>>
>>In other words we should be more vigilant in women who have had previous cesareans because they probably have a higher incidence of intra-uterine growth restriction.
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>>http://www.novaobgyn.yourmd.com
>

--
art fougner, md
ich bin ein New Yorker




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