|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Thin uterus at C/Section, prev. IUFDFrom: T Dubose (tjdubose@chrp.uams.edu)Mon Sep 30 16:40:27 1996
My only question would be: if it were placenta accreta, would the placenta detached easily? While I have never and do not perform deliveries, it is my understanding that with accreta, placenta detachment would be expected to be more difficult, and fairly bloody. I am interested in others thoughts. Terry J. DuBose ---------- From: Garry E. Siegel To: Multiple recipients of list Subject: Thin uterus at C/Section, prev. IUFD Date: Monday, September 30, 1996 3:18PM A 37 YO Para 2021 recently underwent an elective Section at 37.5 weeks (patient choice after mature amnio), and when I went to manually remove her placenta with the uterus still in the abdomen, I noted an extremely thin uterus overlying it, and thus exteriorized the uterus for visualization during manual removal. Indeed, the uterine wall overlying the attachment was millimeters thick, in the left cornual area. The placenta was grossly normal, and detached easily, and, stupidly, I didn't sent it for pathology. Snip........ She now is quite concerned about her prognosis, since she overheard the discussion about her uterus between me and the assistant (love those awake C/Sections sometimes!). My initial feeling is that this likely was a placenta accreta, and that all will be normal next time. However, I wonder if abnormal placentation could have accounted for her first IUFD. Furthermore, will an HSG at 3 months be helpful to prognosticate, followed (if the HSG is abnormal) by laparoscopy/hysteroscopy?
-- Garry E. Siegel, M.D. garrys@mindspring.com
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:19:33 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.