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Re: Placenta Increta From: Arthur W. Curtis, Jr. (artcurtis@juno.com) Sat Jun 21 14:47:56 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: Birth Plans" Previous message: Geffrey H. Klein, MD: "Birth Plans" Maybe in reply to: William Von almen,ii: "Placenta Increta" Next in thread: dahmd: "Re: Placenta Increta" On Sat, 21 Jun 1997 08:41:05 -0500 ATFSOCCER@aol.com writes: ><< NOW---If the pack is sucessful in the short term (hematocrit is > 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. Excellent. Would add: 6. Hemabate directely into fundus as pack is removed. 7. Serial HCG titers to follow residual placental tissue. 8. new shoes. Art ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Arthur Curtis, MD FACOG 100 Central Street Worcester, MA 01608 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ > Next message: Larry Glazerman: "Re: Birth Plans" Previous message: Geffrey H. Klein, MD: "Birth Plans" Maybe in reply to: William Von almen,ii: "Placenta Increta" Next in thread: dahmd: "Re: Placenta Increta"

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