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Placenta Accreta Uterine Inversion At Birth
Un-invert it: Hopefully you will be attended by an Ob/Gyn or midwife who knows what to do. In general,a uterine inversion can be prevented by not putting a lot of traction on the umbilical cord after birth. When a uterine inversion happens, the first thing to do is to immediatly fix it by putting pressure on the inverted fundus. If this doesn't work, meds or surgery are used. Best wishes! ...Read more
Why am i still hurting after having a baby 9 months ago? I was diagnosed with placenta accreta after the birth of my child my doctor didn't do surgery to remove it he just pulled it out was he suppose to do that?
Confused..: Your information is a little confusing to me; are you concerned about long-term pain from your delivery, or asking whether the management of placenta accreta was appropriate in your case? Please clarify. Any time pain persists that far out after delivery it is abnormal and merits examination by a gynecologist. Standard management of suspected placenta accreta is prelabor cesarean hysterectomy @35w. ...Read moreSee 1 more doctor answer
Resorption: If placenta percreta/accreta is recognized at the time of delivery and there is no bleeding then allowing the uterus to contract and retained placenta to be excreted or absorbed later on its' own volition is a wise course. However, if there is massive uncontrollable bleeding then cesarean hysterectomy is the "default" choice. Uterine balloon "packing" can be also be tried to arrest bleeding. ...Read moreSee 2 more doctor answers
Placenta accreta: A placenta accreta develops when the placenta invades or grows into the muscular layer of the uterus. With invasion of the muscle, detachment of the placenta after birth of the infant cannot occur. Retention of the placenta can lead to a postpartum hemorrhage. To remove the placenta, the uterus is usually removed after delivery of the infant. ...Read moreSee 1 more doctor answer
Ultrasound, Doppler.: The provisional working diagnosis is achieved prenatally with history taking and a targeted ultrasound examination by an expert in the field. Mri is not generally helpful, unless the placental invasion is posteriorly. The final diagnosis is made by pathological examination of the uterus and placenta en bloc after a cesarean hysterectomy. ...Read moreSee 1 more doctor answer
Uterine scars/defect: The placenta tends to implant over pre-existing uterine scars or defects; when that occurs, the invasive nature of the placenta can lead to abnormally increased vascularity in areas without sufficient uterine muscle to control the bleeding once the placenta is delivered (particularly near the cervix). That is potentially life-threatening if undiagnosed until delivery and managed in small hospital! ...Read moreSee 1 more doctor answer
In-side-out uterus: Sometimes during delivery of the placenta the uterus can turn inside-out. Obstetric providers are trained in ways to get it right-side-out again. Usually this is a very quick maneuver but sometimes can require medication to relax the uterus or even surgery. It happens more commonly when the placenta doesn't come off the uterus like it should. Best wishes! ...Read more
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