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No ideas?
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Has anyone heard of an accreta that didnt require hysterectomy? Any knowledge you all can share about supplements & placentas in general, I appreciate it so much.
Question for midwives about previa & avoiding accreta
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I don't know about the vit E issue at all, actually.
I have seen a couple of accretas, one which did not require hysterectomy, but did involve a lot of bleeding, transfusion, repeat d&c, and a lot of close watching.
Actually the 2nd birth that I witnessed ever was a repeat cesarean x 6, where mom came in labor at 35 weeks and so had a repeat urgently in the middle of the night, and then bled and bled and bled. She had 6 units of blood in the operating room, and was initially closed after surgery, but had an emergency hysterectomy a few hours later. I actually almost gave up the idea of attending births altogether after that one. It turned out she had a form of accreta called placenta percreta, where the placental tissue had invaded all the way through the muscle layer of the uterus to the serosa layer on the outside. Apparently really rare, as even at the tertiary care center where I trained, no one had ever seen one before.
Most previas diagnosed in the first trimester do migrate and turn out not to be a problem. That early, they may not have even been able to tell if the placenta was posterior or anterior, but a posterior placenta would be much less likely to cause trouble. You probably should have a repeat ultrasound at 20 weeks, and again at 28 if all is well to evaluate placental position. If you have any bleeding, generally you should have a scan right away - and do not let anyone do a cervical exam as there is a risk of causing worse bleeding if there is a true previa over the cervix.
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I wish you the best. Just doesn't seem fair that you should have to deal with any other drama in your birthing, does it?
I have seen a couple of accretas, one which did not require hysterectomy, but did involve a lot of bleeding, transfusion, repeat d&c, and a lot of close watching.
Actually the 2nd birth that I witnessed ever was a repeat cesarean x 6, where mom came in labor at 35 weeks and so had a repeat urgently in the middle of the night, and then bled and bled and bled. She had 6 units of blood in the operating room, and was initially closed after surgery, but had an emergency hysterectomy a few hours later. I actually almost gave up the idea of attending births altogether after that one. It turned out she had a form of accreta called placenta percreta, where the placental tissue had invaded all the way through the muscle layer of the uterus to the serosa layer on the outside. Apparently really rare, as even at the tertiary care center where I trained, no one had ever seen one before.
Most previas diagnosed in the first trimester do migrate and turn out not to be a problem. That early, they may not have even been able to tell if the placenta was posterior or anterior, but a posterior placenta would be much less likely to cause trouble. You probably should have a repeat ultrasound at 20 weeks, and again at 28 if all is well to evaluate placental position. If you have any bleeding, generally you should have a scan right away - and do not let anyone do a cervical exam as there is a risk of causing worse bleeding if there is a true previa over the cervix.
Can't comment on vit E, but maybe this'll be uplifting. The only study I was ever able to find on placenta previa persistance: http://www.greenjournal.org/cgi/content/full/99/5/692
Hopefully it's still a valid link. Diagnosed at 13 weeks, it's incredibly likely it'll move. It's later diagnoses (20 weeks +) which carry lower resolution rates.
I was diagnosed with complete at 16 weeks and 18 weeks by two different U/S techs. By 24 weeks, it had completely migrated -- something like 4.6 cms which by the tech and the OB's comments never happens (the amount of the "migration" in that short time frame, that is). 2cms is generally sufficient for vaginal birth by the most conservative of OBs/MWs. You've alot of time to go yet to get it to "migrate" those 2cms. Most of your growth is coming up shortly, so in all likelihood, you'll be fine.
Best of luck!!!
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Hopefully it's still a valid link. Diagnosed at 13 weeks, it's incredibly likely it'll move. It's later diagnoses (20 weeks +) which carry lower resolution rates.
I was diagnosed with complete at 16 weeks and 18 weeks by two different U/S techs. By 24 weeks, it had completely migrated -- something like 4.6 cms which by the tech and the OB's comments never happens (the amount of the "migration" in that short time frame, that is). 2cms is generally sufficient for vaginal birth by the most conservative of OBs/MWs. You've alot of time to go yet to get it to "migrate" those 2cms. Most of your growth is coming up shortly, so in all likelihood, you'll be fine.
Best of luck!!!
Thank you Beth. My doctor had me totally freaked out about accreta and now I can just concentrate on other worries.
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I was happy to read here that it doesn`t always end in hysterectomy though.
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