Re: Question about placenta accreta

From: RModugno@aol.com
Sat Oct 28 12:06:21 2006


In a message dated 10/28/2006 12:19:30 P.M. Eastern Standard Time, annam@uic.edu writes:

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

Anna Meenan, MD

Not necessarily this outcome - but it pays to know in advance. For example;

1) transfer to a center with plenty of blood products and availablity of surgeons with advanced skills - if one requires them- gyn onc springs to mind. 2) If bladder involvement is suspected - the presence of your friendly urologist at surgery would be nice. 3) Some have advocated the placement of catheters for hypogastric artery embolization pre-operatively. 4)Would like to find this out in advance and schedule surgery at a reasonable time, when all resources are at hand - rather than at 3am.

Robert Modugno MD MBA FACOG Sylva, NC





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