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placenta accreta/dysfunctional laborFrom: ElisHyde@aol.comThu Jun 27 22:29:44 1996
a group of OBs/CNM/RNs were chatting on the labor floor today re: c/hysts. As we talked, it became apparent that of the 4 recent c/hysts for placenta accreta/percreta we remembered, all had been primips (no previous hx uterine surgery/tab etc). Interestingly, all were primips sectioned for dysfunctional labor patterns. Most had had IUPCs and had inability to document adequate contractions. We wondered if placentation abnormalities (accreta, percreta, increta) could lead to dysfunctional labor patterns - particularly if the abnormal placentation was fundal, and thereby interfering with uterine pacemaker activity. Any thoughts re: your own experiences with primip accretas? Elisabeth Hyde CNM Branford, CT
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