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AW: VBAC a Possible Accreta?From: Pasqualetti Roberto KSSG_FRA (foa4@ms1.kssg.ch)Thu Aug 20 15:57:12 1998
>---------- >Von: Daniel J. Flaherty MD[SMTP:drdanf@dailypost.com] >Gesendet: Mittwoch, 19. August 1998 20:30 >An: Multiple recipients of list >Betreff: VBAC a Possible Accreta? > >A) Amnio at 36 wks, C/S if mature, going in armed for bear....that is with >big IV's, blood, Hemabate, help nearby. > >B) Let her go into labor, but have your bear hunting equipment in house. > >C) Sent her off, and have some other guy enjoy the hunt. >Well, what do you folks think? >Daniel J . Flaherty MD, Watertown, SD B. Anyhow, I believe you can still try to assess better the position of the placenta. With a full bladder an abdominal scan can usually give you good informations (just a "low" placenta, or a true previa). With the patient not actively bleeding it is even possible to perform a gentle vaginal scan, giving you a clear picture of what is laying beyond the cervix. Not to mention the use of a color doppler for vasa previa. Ciao Roberto Pasqualetti MD Kantonsspital St. Gallen Switzerland
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