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C Section Complications Placenta Accreta
Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?
Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more
Placenta accreta: A previously undiagnosed placenta accrete may be diagnosed at the time of a cesarean section. This would occur when the OB is trying to remove the placenta but cannot because it is attached (accreta). On the other hand, if the placenta detaches easily, the uterine cavity is always explored so it would be rare to have an attached placenta left behind but a focal placenta accrete could be missed. ...Read more
31 weeks pregnant & have placenta accreta. This is my 4th baby & never had a c-section.My doctor is suggested I have an MRI . Is it safe for the baby?
Confusing technology: Although the idea of avoiding x-rays during pregnancy is widely known, the new technologies face a different problem. People assume that the MRI is just as bad or is just a different type of x-ray machine. It is not, it simply "magnetizes" you briefly like you can small pieces of metal & uses computer assisted sensors to give pictures much better than a cat scan. It won't hurt you or baby. ...Read moreSee 2 more doctor answers
I'm 22 weeks pregnant with placenta accreta. My lower abdomen feels sore and bruised on my old C-section scar, and it hurts to move. Is this normal?
Could be: Please see your obstetrician to discuss treatment options. ...Read more
If someone has a focal placenta accreta can it detach and come out on its own? Have you ever heard of this? Or would this be unusual?
Placenta Accreta: Placenta Accreta usually occurs when the placenta attaches to a scar from a previous cesarean section. If the placenta grows into the scar it is called placenta increta. If it grows through the wall of the uterus it is called placenta percreta. These are serious problems which can lead to a cesarean hysterectomy. The diagnosis is suspected by ultrasound or MRI. A focal accreta could detach. ...Read more
Different things: These are distinctly different things. A subchorionic hematoma is a collection of blood in the layer between the membranes and the placenta. It is typically found in the 1st trimester when someone experiences bleeding. A placenta accreta is when the placenta is attached too deeply into the uterine wall. You could have both things but they are not typically related. ...Read more
Yes - prematurity,: Placenta previa/accreta typically leads to preterm contractions and rupture of membranes requiring delivery before 37 weeks. Thus, the minor risk is for mild prematurity for the fetus/neonate. The main risk is maternal and can prove lethal if the diagnosis is not prenatally suspected and appropriate expert care is not sought in a timely fashion. ...Read moreSee 1 more doctor answer
Massive, brief.: Profuse, life-threatening bleeding occurs suddenly if the placenta is allowed or forced to separate from the uterus in cases of accretism. Unless this is promptly and expertly treated with hysterectomy, maternal death from exsanguination occurs soon. Accreta bleeding is not chronic. Delivery at tertiary hospital/trauma center with large blood bank and mfm gyn oncologist surgical care is needed! ...Read more
Can you detect placenta accreta on an 18 obstetrical week ultrasound? My midwife says you can't see pa, but it was my understanding that you could.
You certainly can!: Expert eyes can discern the tell-tale signs of placenta accreta as early as the first trimester - in fact recent evidence suggests that is the best time to detect this potentially life-threatening complication of pregnancy. It is certainly possible to diagnose accreta at 18 weeks - I have done it repeatedly and confirmed it at delivery. ...Read moreSee 1 more doctor answer
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