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Re: Placenta Increta From: ATFSOCCER@aol.com Sat Jun 21 08:40:53 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodriguez: "The New Yorker, Dr. Susan Love and HRT" Previous message: ATFSOCCER@aol.com: "Re: Postpartum tubals - Where?" Maybe in reply to: William Von almen,ii: "Placenta Increta" Next in thread: Arthur W. Curtis, Jr.: "Re: Placenta Increta" In a message dated 97-06-21 04:11:18 EDT, you write: << NOW---If the pack is sucessful in the short term (hematocrit is stable tomorrow, fundus is firm, no excessive bleeding) WHEN O WHEN should I pull the pack? She realizes the packing is a last resort kind of thing, and she realizes that another pregnancy would probably yield a simolar complication, but she really does not want to have a TAH. Advice? Countenance? Prayers? THANX!!!!! >> My anecdotal based suggestions would be to: 1. Stabilize , foley catheter, a 2nd IV 16 or 18 guage and 4u blood available. 2. Broad spectrum IV antibiotics 24-48 hrs. 3. Pull pack in 24 hrs. 4. If stable wait 24hr and discharge with methergine. Consider hysteroscopy with resectoscope in 6 weeks to remove any placental tissue?? 5. For intractable bleeding I would consider consult with radiologist for uterine artery embolization. Next message: Gerald P. Rodriguez: "The New Yorker, Dr. Susan Love and HRT" Previous message: ATFSOCCER@aol.com: "Re: Postpartum tubals - Where?" Maybe in reply to: William Von almen,ii: "Placenta Increta" Next in thread: Arthur W. Curtis, Jr.: "Re: Placenta Increta"

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