Re: Placenta Accreta
From: art fougner, md (evsono@pipeline.com)
Fri Feb 15 15:44:27 2008
Hence "First Rate."
Cheers!
Art
At Fri, 15 Feb 2008, Betsy Hyde wrote:
>
>This issue came up yesterday at Grand Rounds.
>Evidence was presented that ultrasound was as good as CT/MRI for
>abnormal placentation, and no good evidence had been presented that
>balloon catheters were beneficial. Although some of the studies
>showed benefit, others should major complications including need for
>ileofemoral bypass!
>
>--
>Betsy Hyde CNM
>Branford, CT
>
>On Feb 15, 2008, at 3:53 PM, art fougner, md wrote:
>
>> If your hospital has a first rate interventionl radiology department,
>> prophylactically catheterizing the internal iliacs can be a lifesaver.
>>
>> Art
>>
>> At Fri, 15 Feb 2008, ainsron wrote:
>>>
>>> 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
>>>>
>>> _____
>>>
>>> Shed those extra pounds with MSN and The Biggest Loser! Learn
>>> <http://biggestloser.msn.com/> more.
>>
>> --
>> art fougner, md
>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
