Re: Question about placenta accreta

From: Meenan, Anna (annam@uic.edu)
Sat Oct 28 11:16:12 2006


Just curious as to whether someone is thinking that knowing in advance would have altered the outcome.

Anna Meenan, MD

>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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