Re: Question about placenta accreta

From: Andrew Folley (agfolley@hotmail.com)
Sat Oct 28 07:15:52 2006


Not so much noticed as anticipated. 4th c-section with previa at this time; high probability for accreta in the order or 30-40%??????

>From: GIN11153@aol.com
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Question about placenta accreta
>Date: Sat, 28 Oct 2006 03:38:21 -0500
>
>We had a patient today who had a scheduled repeat c/section (had 3 previous
>sections) for a long known complete previa. Her due date was I think 5 days
>away.
>
>When it was time to get the placenta out, doc noticed the accreta, she
>hemorrhaged needing 2 units of packed cells and an emergency hysterectomy.
>Doing
>fine in the ICU overnight.
>
>Am curious to know if the accreta could have been noticed previously on
>several ultrasounds she had over the last 3 months.
>
>Gail Neuman RNC CPHW SNP
>Director of Perinatal Services
>Montclair Hospital Medical Center
>student nurse practitioner and student midwife
>Perinatal education
>OB Legal Nurse Consultant
>Perinatal Nurse Associates
>Santa Ana, CA
>





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