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Re: Question about placenta accretaFrom: rmodugno@aol.comSat Oct 28 07:30:48 2006
-----Original Message----- From: GIN11153@aol.com To: ob-gyn-l@dns.obgyn.net Sent: Sat, 28 Oct 2006 4:38 AM Subject: Question about placenta accreta 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 *************************************************************************************************** Complete placenta previa with 3 previous sections should ALWAYS raise the suspicion of an accreta. Can diagnosed by ultrasound and if suspicious, MRI could be done.Excellent review in the Green Journal this year. I'm surprised she only needed 2 units of packed cells! Good job by the OB! Robert Modugno MD MBA FACOG Smoky Mountain OB/Gyn Associates 64 Eastgate Drive, Sylva, NC 28779 828-586-7802
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