Mary: I could find out more and will. I am not sure of the screening
criteria that identified the percreta, I do know however they had identified
it (maybe from a "routine" u/s) and were very sure that the placenta was
percreta and "pretty sure" it hadn't grown into the bladder. In case of
worst case scenario, the woman was sent to x-ray to have special IV lines
put in (my lack of nursing shows up here!!!). I think it is possible to
check for scar implantation, but I don't know the reliability. I am not in
favour of routine u/s either, but if they can show up this stuff then that
could be a blessing. In fact I don't think it would be a routine u/s but
something of higher resolution that would show this. I can't imagine it is
routine screening for a vbac here (they call it trial of scar (many don't
know what i am talking about when I say vbac) and it is not encouraged by
the ob's), but either an accreta/percretta would be a problem which ever way
you birth.  I will look into it.

marilyn



----- Original Message -----
From: "Mary Murphy" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, March 28, 2003 4:45 PM
Subject: Re: [ozmidwifery] risks of 4th c/s and support for artificial
feeding


> Marilyn wrote  "We had a mum in for an elective repeat caesar the other
week
> who had a known placenta
> percreta (had been checked by u/s as having not grown through to the
> bladder). "
> Is it possible to check whether the placenta has implanted over the scar?
> Does scar tissue show up well on U/S? Is the U/S able to truly show a
> placenta accreta or percreta?  It sounds like it can, from what you say
> Marilyn. At what gestation would this be done?  Is it routine screening
> before either VBAC or C/S?
> So many unsubstantiated claims surround U/S. I am asking for information,
> not criticising.  MM
>
>
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