VBA3C's and after Placenta Accreta

[MaryLang]

Has this been done? I e-mailed ICAN and they said the previous accreta would not be a VBAC "issue". So does this mean it can be done?

[rainbowmoon]

: for info too

my last birth was a vbac with placenta acreta. will it happen again if I get pg again is my question? (the acreta was NOT at my scar site)

[meganne79]

I'm sure others will chime in for you too. I am not a midwife (yet!) or an MD but I have done lots of research on these and have spoken at length with my perinatologist because I had a totally inverted uterus with suspected accreta with my first pregnancy. So my information is only what I have found

Accretas are not always related to scar tissue but are much more likely to occur if you have any uterine scaring. With 3 previous sections you are at a higher risk of another accreta though, I-CAN is correct, it is not related to how you birth. Even if you have a section, you still face the risks of hemmorage with an accreta like you would if you VB. Unfortunately as you probably have been told, accretas are incredibly difficult to diagnose during pregnancy.

I am sure you know how serious accretas are since you have had one so I encourage you to keep a very open dialogue with your OB or midwife. Have you spoken to your provider about it yet? I have to say that you may have difficulty finding an OB or midwife willing to do a VBAC. With an accreta the placenta almost always has to be surgically removed and surgery is usually needed (though not in every case) to stop the bleeding and avoid a hysterectomy.

Here is a quote from pregnancy.org about the likelihood of another accreta "When placenta previa or a low-lying anterior placenta is present in a woman who has had one previous cesarean section, the risk of placenta accreta is 30%. It jumps to 40% or higher in women who have had more than one previous cesarean section."
Here is the link http://www.pregnancy.org/article.php?sid=400 but be forewarned, it does not have happy information! Most of which I'm sure you already know.

I wish you good luck in your decision and, for both OPs, a healthy and safe pregnancy and delivery if that is what you chose to do!

[MaryLang]

Thank you so much for the information. Yes mine was in my scar. And my doctor said because of the way he has to cut the placenta out I will have a very weakened scar. That particular birth was a planned VBAC, but the placenta grew closer to the cervix, and started bleeding. So in that respect, I'm glad I was already in the OR. I just have to know if it has been done, or is it a truly weakened uterus.