OB-GYN-L Messages for February, 2008: Re: Placenta Accreta

Re: Placenta Accreta

From: FRANCES WREN

fwren@shaw.ca

Fri Feb 15 16:56:08 2008

C/S... and patient must be aware re possible hyst... but maybe will be able to remove the placenta as best possible without major mishap. I think that methotrexate doesn't work on a "no longer active" placental tissue, so probably no point in using the Mtx... hopefully the partial"accreta " part won't give problems, sometimes that is the case...let's hope. have lots of blood available. frances wren agree U/S is meant to be as good for diagnosing accreta/percreta as other modalities I think.

>----- Original Message -----
From: Andrew Folley <agfolley@hotmail.com> Date: Friday, February 15, 2008 10:52 am Subject: Re: Placenta Accreta To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>

>
> 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!
> _________________________________________________________________
> http://biggestloser.msn.com/

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<DIV>C/S... and patient must be aware re possible hyst...</DIV> <DIV>but maybe will be able to remove the placenta as best possible without major mishap.</DIV> <DIV>I think that methotrexate doesn't work on a "no longer active" placental tissue, so probably no point in using the Mtx...</DIV> <DIV>hopefully the partial"accreta " part won't give problems, sometimes that is the case...let's hope.</DIV> <DIV>have lots of blood available.</DIV> <DIV>frances wren</DIV> <DIV>agree U/S is meant to be as good for diagnosing accreta/percreta as other modalities I think.<BR><BR>----- Original Message -----<BR>From: Andrew Folley <agfolley@hotmail.com><BR>Date: Friday, February 15, 2008 10:52 am<BR>Subject: RE: Placenta Accreta<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><BR><BR>> <BR>> G3P2 now at 27 weeks with know complete previa since 12 <BR>> weeks.  Admit to hospital wednesday for steroids in light <BR>> of short cervix or 9mm and +Ffn.   Echo in hospital <BR>> confirms previa and also suggests placenta accreta on "right <BR>> lateral side". Patient would like more children.  Any <BR>> thoughts on management?? ie plan for c-hyst?  Use <BR>> interventional radiology? Do c-section and leave placenta and <BR>> treat with methotrexate? Do section and do the best I can in <BR>> extracting placenta and be prepared.....???? thanks agf  PS <BR>> Benefits tif any for Cat scan or MRI to diagnose percreta or <BR>> increta??> Date: Tue, 29 Jan 2008 17:05:21 -0600> From: <BR>> dean@thehuffpeople.net> To: ob-gyn-l@mail.obgyn.net> Subject: <BR>> Re: ABC / MOC with ABOG Question> � 38;gt; .> > Do not feel dumb. ABOG <BR>> has screwed it up completely.> > First you have to go to <BR>> http://www.abog.org and sign in with your special ID and> Password. (It <BR>> you do not have one, or do not know what it is, you can call <BR>> them> on the phone).> > Then you have to complete the <BR>> registeration for the 2008 board exam and mail or> fax it in to <BR>> them. DO NOT FORGET TO SEND THE MONEY.> > Then you can go on <BR>> their web site and find the article references and> questions.> <BR>> > - - - - > > From: "Garry E. SiegelSubject: Re: ABC / MOC with <BR>> ABOG Question> Date: Jan 29, 2008 1:32 PM> > OK, I'm feeling a <BR>> bit dumb.> > Where is the link/what is the link to find the <BR>> article list and questions on> ABOG's site? I seem to be missing <BR>> it. . .> > Last year, it was a .pdf that included the 60 <BR>> questions and reading list, around> 15 pages to print.> > Please <BR>> post or email privatetly.> > Thanks,> > Garry> > --> Garry E. <BR& 59; Private Practice> Roswell, GA> > > > > <BR>> _________________________________________<BR>> Shed those extra pounds with MSN and The Biggest Loser!<BR>> http://biggestloser.msn.com/</DIV>

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