Re: Thin uterus at C/Section, prev. IUFD

From: David A. Nagey (dnagey@welchlink.welch.jhu.edu)
Mon Sep 30 23:07:00 1996


At 03:18 PM 9/30/96 -0500, you wrote: Indeed, the uterine wall overlying the attachment >was millimeters thick, in the left cornual area. The placenta was grossly
>normal, and detached easily,

My initial feeling is that this likely was a >placenta accreta, and that all will be normal next time.

how could it have been an accreta if it detached easily? I think not

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?

I think that this would be speculative at best. We don't even know that something is wrong yet are considering an unproven technique to diagnose an as yet undiagnosed condition....

I would "go for it" until there is clearly something to treat

David

--
David A. Nagey, MD, PhD, FACOG
Division of Maternal-Fetal Medicine
Department of Gynecology and Obstetrics		telephone: (888) 800-8150
The Johns Hopkins Hospital			FAX: (410) 849-2742
600 N. Wolfe Street, Houck 204
Baltimore, MD 21287-1204		email: dnagey@welchlink.welch.jhu.edu




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