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Re: OB: Asherman's, now pregnantFrom: ATB28 (ATB28@aol.com)Wed Dec 10 08:15:34 1997
In a message dated 97-12-10 06:12:19 EST, bcrist@club-internet.fr writes:
<< It would be excellent if a
> prenatal diagnosis could be made, realizing that her ultrasounds could In the patient with a history of uterine incision, such as previous cesarean section, who presents in a subsequent pregnancy with an anterior placenta (overlying the previous incision), an unexplained *increased AFP* (not increased risk for DS) may tip you off to increased risk for placenta accreta/increta/precreta. A number of AFP-related reports have mentioned this over the years. Depending upon the extent of the previous curettage - likely substantial if the patient now manifests Asherman's syndrome as a result - this tip help here as well. What was her screening AFP MoM at mid-trimester? Allan T. Bombard, MD Clinical Professor/Obs-Gyn AECOM Walnut Creek, CA
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