Re: Placenta Accreta

From: ainsron (ainsron@sbcglobal.net)
Fri Feb 15 11:26:50 2008


Be prepared for C-Hysterectomy - consent, blood available (lots). MRI could be useful for diagnosis, but at this point it sounds like it is highly likely, so what difference would an MRI make? Either way you're going to need to be prepared for C-hysterectomy. If it doesn't separate easily I would go quickly to hysterectomy. If she wanted conservative options, I would refer to tertiary care center and let them roll the dice if they feel lucky. For my part, I would do everything I can safely do to protect the patient, not the uterus.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Friday, February 15, 2008 9:53 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Placenta Accreta

G3P2 now at 27 weeks with know complete previa since 12 weeks. Admit to hospital wednesday for steroids in light of short cervix or 9mm and +Ffn. Echo in hospital confirms previa and also suggests placenta accreta on "right lateral side". Patient would like more children. Any thoughts on management?? ie plan for c-hyst? Use interventional radiology? Do c-section and leave placenta and treat with methotrexate? Do section and do the best I can in extracting placenta and be prepared....???? thanks agf PS Benefits tif any for Cat scan or MRI to diagnose percreta or increta??

> Date: Tue, 29 Jan 2008 17:05:21 -0600
> From: dean@thehuffpeople.net
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: ABC / MOC with ABOG Question
>
> .
>
> Do not feel dumb. ABOG has screwed it up completely.
>
> First you have to go to http://www.abog.org and sign in with your special ID and
> Password. (It you do not have one, or do not know what it is, you can call
them > on the phone).
>
> Then you have to complete the registeration for the 2008 board exam and
mail or > fax it in to them. DO NOT FORGET TO SEND THE MONEY.
>
> Then you can go on their web site and find the article references and
> questions.
>
> - - - -
>
> From: "Garry E. SiegelSubject: Re: ABC / MOC with ABOG Question
> Date: Jan 29, 2008 1:32 PM
>
> OK, I'm feeling a bit dumb.
>
> Where is the link/what is the link to find the article list and questions
on > ABOG's site? I seem to be missing it. . .
>
> Last year, it was a .pdf that included the 60 questions and reading list,
around > 15 pages to print.
>
> Please post or email privatetly.
>
> Thanks,
>
> Garry
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>

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