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Read at your own risk...  

post #1 of 114
3/20/08 at 1:21pm
Thread Starter 
...I warned you.


Is there EVER a situation...EVER...where it would be advisable, or OK even, to leave a placenta inside? For how long?

WHY do I keep finding all the obstetrical loons? (That one's rhetorical.)

:
post #2 of 114
3/20/08 at 1:26pm
Like, indefinitely? I think retained placenta is "called" way too soon at the hospital-but do you mean like, mom has the baby, placenta doesn't come, and a day later it's still in there? I don't KNOW, but my guess would be that would not be a good plan. ??
post #3 of 114
3/20/08 at 1:30pm
Thread Starter 
No, I mean like - during a cesarean, LEAVING it there. Telling the patient it will "pass on it's own in up to 6 weeks." (Should it not detatch easly during surgery.)

One of two things..

1- I am REALLY uneducated about this.
2- She REALLY needs to be reported to the medical board.

If birth doesn't kill me, I'm sure that would. :
post #4 of 114
3/20/08 at 1:34pm
Quote:
Originally Posted by rmzbm View Post
No, I mean like - during a cesarean, LEAVING it there. Telling the patient it will "pass on it's own in up to 6 weeks." (Should it not detatch easly during surgery.)


post #5 of 114
3/20/08 at 1:37pm
Quote:
No, I mean like - during a cesarean, LEAVING it there. Telling the patient it will "pass on it's own in up to 6 weeks." (Should it not detatch easly during surgery.)

One of two things..

1- I am REALLY uneducated about this.
2- She REALLY needs to be reported to the medical board.
Someone told you this happened to them????::

Heather
post #6 of 114
3/20/08 at 1:39pm
Thread Starter 
Quote:
Originally Posted by time4another View Post
Someone told you this happened to them????::

Heather
NO! My OB suggested they MAY DO THIS TO ME!
post #7 of 114
3/20/08 at 1:46pm
OMG - I think I'd run from the office and tell them "see ya later".

If that is not the absolute picture of impatience on a Dr's part, I don't know what the heck would be.

Blah.
post #8 of 114
3/20/08 at 1:46pm
Quote:
Originally Posted by rmzbm View Post
NO! My OB suggested they MAY DO THIS TO ME!
holycrap

I'm going to assume that's not your OB anymore.
post #9 of 114
3/20/08 at 1:55pm
Thread Starter 
Well, I met her for the 1st time yesterday, my OB transfered me to a High Risk place, anyway - she was going on about the placenta likely being adhered to the scar tissue, and it dawned on me later that I shoudn't even HAVE ST where my placenta is...so I called this AM to run it by her...and this is what she so casually says!
post #10 of 114
3/20/08 at 4:52pm
Thread Starter 
OK, apparently this is called Planned Retention and is one of the 2 main treatments for acreta, the other being hysterectomy. I have never heard such a thing. Wow...
post #11 of 114
3/20/08 at 5:08pm
Well, I'll be. Learn something new every day.

-Angela
post #12 of 114
3/20/08 at 5:11pm
Thread Starter 
Quote:
Originally Posted by alegna View Post
Well, I'll be. Learn something new every day.

-Angela
: I was just talking on the phone to a local MW, that's what she said. Word.For.Word.
post #13 of 114
3/20/08 at 5:27pm
Quote:
Originally Posted by rmzbm View Post
: I was just talking on the phone to a local MW, that's what she said. Word.For.Word.


-Angela
post #14 of 114
3/20/08 at 5:38pm
I have heard of it before - it's actually a more 'conservative' treatment (less surgery, more likely to preserve fertility) for placenta accreta than the alternative, which is trying to scrape it out while trying to keep you from bleeding to death, or going straight to hysterectomy. Is your placenta low/previa/over the scar?

Here's an article:
http://www.ncbi.nlm.nih.gov/pubmed/14593301

Honestly, I'd be impressed that the OB knows about this and is willing to try it, given the surgery-first-last-and-always climate here.
post #15 of 114
3/20/08 at 5:42pm
I have heard of this, with placenta accreta -- the thought is that the process of removing the placenta (when there is an accreta) is damaging and creates scar tissue and that it might be less invasive to just leave it there to reabsorb. I would guess it might wreak havoc with breastfeeding, though. Methinks MWHerbs might know more about this -- it might have been her that I heard about it from.
post #16 of 114
3/20/08 at 5:43pm
Quote:
Originally Posted by ccohenou View Post
Is your placenta low/previa/over the scar?
As I recall, her placenta is nowhere near her scar...

-Angela
post #17 of 114
3/20/08 at 5:48pm
Thread Starter 
Quote:
Originally Posted by alegna View Post
As I recall, her placenta is nowhere near her scar...

-Angela


I had a US to check on this, as it seems a valid concern. It is high and posterior. I don't understand why there would be scarring there.
post #18 of 114
3/20/08 at 5:50pm
Thread Starter 
What would be the problem with BFing?
post #19 of 114
3/20/08 at 5:58pm
Quote:
Originally Posted by rmzbm View Post
What would be the problem with BFing?
Any retained placenta bit can keep milk from coming in.... can't imagine what a whole one would do...

-Angela
post #20 of 114
3/20/08 at 6:00pm
Quote:
What would be the problem with BFing?
Any placental fragments that remain in the uterus interfere with lactogenisis to complete milk.

Oh and yeah...how do you know you have accreta? I too thought your placenta was high and posterior????

Heather
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