Re: Placenta Accreta
From: Betsy Hyde (elishyde@att.net)
Fri Feb 15 17:01:40 2008
Remember that Google is your friend. Check out Yale-New Haven
Hospital Dept of OB-GYN. You might recognize a name or two....
Betsy
On Feb 15, 2008, at 5:46 PM, art fougner, md wrote:
> 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
|
|
