Re: Placenta Accreta
From: art fougner, md (evsono@pipeline.com)
Fri Feb 15 13:52:28 2008
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
