Re: circumvellate placenta
From: art fougner, md (evsono@pipeline.com)
Thu May 17 07:23:11 2001
Yup.
art
At Wed, 16 May 2001, Joanne Bulley wrote:
>
>Aren't the risk of abruptio, accreta/increta/percreta and IUGR also
>higher? It is my (old) understanding that the reason the circumvallate
>placenta develops is that the endometrial bed in these patients is poor
>for supporting the baby and thus the trophoblast grows over most of the
>uterine wall to get enought blood supply to sort of support the fetus.
>
>Joanne
>
>At Wed, 16 May 2001, Kirsten Duckitt wrote:
>>
>>Isn't the risk of a vasa praevia associated with a velamentous insertion of the cord rather than a circumvallate placenta?
>>
>>Kirsten
>>
>>--
>>Kirsten Duckitt MRCOG
>>Clinical Lecturer
>>Nuffield Department of Obstetrics and Gynaecology
>>Level 3, Women's Centre
>>John Radcliffe Hospital
>>Headington
>>Oxford
>>OX3 9DU
>>
>>01865 741166 bleep 1028
>>
>>>>> rchudacoff@mylinuxisp.com 05/16/01 01:42am >>>
>>Vaso previa would be the big one I'd guess
>>
>>Richard Chudacoff, MD
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of James Lie
>>Sent: Tuesday, May 15, 2001 6:06 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: circumvellate placenta
>>
>>26yo primip presented @ 30/40 in prem labour. Stopped with salbutamol
>>infusion. CTG reactive. US normal foetus, AFI", circumvellate placenta -
>>well away from endocx canal.
>>
>>I haven't seen one of these before.
>>Besides the risk of preterm delivery and PPH, are there anything else to
>>watch for?
>>
>>James Lie
>>
>--
>Joanne Bulley, MD, FACOG
>Keene, NH, USA
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
