thread: Placenta previa complete with accreta

  1. #1
    Registered User

    Aug 2011
    Bega
    72

    Placenta previa complete with accreta

    Hi All,
    I am currently 20 wks and have been diagnosed with grade 4 placenta previa and placenta accreta. I have been told by the specialists that I most likely will have to a pre-term c-section and hysterectomy. Has anyone had any experience with these complications? Any advice or experiences that you could share with me would be greatly appreciated.

    Cheers

  2. #2
    Registered User

    Sep 2007
    Brisbane
    5,729

    Hi, I can imagine that would be quite stressful to find out! I have no knowledge of this condition but I didn't want to read and not pass on my best wishes.

  3. #3
    Registered User

    Dec 2005
    In Bankworld with Barbara
    14,222

    Please, please seek a second opinion about the hysterectomy. The long term effects of a hysterectomy are massive and not to be taken lightly. there is a video on youtube called
    Female Anatomy: Before and After Hysterectomy

    watch it and then use it to inform yourself of the long term effects and use that information to ask your Dr more questions. there might be another way.

  4. #4
    Registered User

    Apr 2011
    251

    I agree with the second opinion in regards to the hysterectomy. have you had a previous section or other uterine surgery? is that where the accreta is?
    grade 4 PP's do not move enough from the opening of the cervix to enable a vaginal birth.

  5. #5
    Registered User

    Nov 2009
    Scottish expat living in Geelong
    5,572

    I would also advise seeking a second opinion with regards to the hysterectomy. It really depends on the exact details of the accreta but this does not always have to result in a hysterectomy.

    The good news is that because they have diagnosed you, they know exactly what they will be dealing with so that you and your baby will have the best treatment during and after the birth to maintain your safety. I hope someone on here has gone through the same thing and can give you some more personal advice.

  6. #6
    Registered User

    May 2004
    Shepparton
    4,871

    I am so very sorry to hear you have been diagnosed with these complications during what should be a celebrated time.

    I would be making it quite clear to the surgeon that everything possible is to be tried before removal of your uterus. I understand that accreta is very serious and can cause severe hemorrhage, but I wonder if the bleeding does occur what they could try before any drastic action. Has your OB had experience in this condition before?

  7. #7
    Registered User

    Jan 2008
    Brisbane
    5,039

    What a scary diagnosis for you. Do you know what type it is and how large it is? 2nd opinion is a must.

    Good luck I so hope that there is another option.

    Whilst it would be terrible to lose your uterus it's better than you not surviving to raise your baby....

    You must have so many mixed feelings

    Hugs

  8. #8
    Registered User

    Aug 2011
    Bega
    72

    Thank you all so much for your replies. I had an emergency c-section with my DS in 2006, the accreta has attached to the scar tissue. I have an appointment on the 25th of this month to discuss my condition with another Dr.
    The doctor I'm under now has had experience with these complications before(thank god!) I'll be making it clear that I want every attempt made to save my uterus. If it comes down to it of course I realise it's more important to be around to look after my beautiful kids. It's just a lot to get my head around and I want to be as well informed as possible going into this.

  9. #9
    Registered User
    Add teresa on Facebook

    Mar 2009
    wagga wagga NSW
    1,489

    hi

    how scary for you!! i second the second opinion on the hysterectomy!

    i had a grade 4 previa. scariest thing ever i had to deal with. i went thru almost every emotion you could go thru from 20 weeks until i had my son at 34 weeks. it is scary. i suggest you try and stay away from google tho. does more harm then good! just take it easy and follow the advice from your ob! good luck. feel free to pm me if you want to know anything further or talk some more xx

  10. #10
    Registered User

    Jan 2008
    Brisbane
    5,039

    I hope there was some good news today from your appointment

  11. #11
    Registered User

    Sep 2007
    Brisbane
    5,729

    How did you go? Do you know how premmie your bubba will be? Buy a good pump now .

  12. #12
    Registered User

    Aug 2011
    Bega
    72

    Hey ladies I'm back!
    I'm now 27 weeks and am currently on HBR I will stay in hospital now until bubba is born. After 10 days of constant spotting and a light bleed plus lots of "tightenings" my OB decided this was the best course of action. (probably doesn't help that we live 2+ hrs away from the nearest hospital that could deal with this situation).
    So I've spoken at length with 2 highly respected OB's and expressed my wishes to keep my uterus and they are now contemplating leaving the placenta untouched and letting it reabsorb itself.
    As far as how preemie she will be they aren't willing to let me go any longer then 34 weeks, all depends on how much I bleed in the meantime.
    Thank you all though for your well wishes and replies.
    P.S. I did go and buy a really good pump

  13. #13
    Registered User
    Add teresa on Facebook

    Mar 2009
    wagga wagga NSW
    1,489

    can i ask why they wont let you go past 34 weeks? a lot of people with previa's and accreta's can go to 37-39 weeks with nil issues.

  14. #14
    Registered User

    Jun 2009
    vic
    2,886

    What a sucky position to be in, I'm so sorry! Hopefully the hysterectomy Is not needed and you come out of it all ok.

  15. #15
    Registered User

    Aug 2011
    Bega
    72

    can i ask why they wont let you go past 34 weeks? a lot of people with previa's and accreta's can go to 37-39 weeks with nil issues.
    Now the accreta has progressed to percreta and also taking into consideration how many epileptic seizures I've had this pregnancy, they would rather deliver early then risk any more harm to me or the baby. Also this way they hope to avoid a really severe hemorrhage.

  16. #16
    Registered User

    Jul 2006
    Melbourne
    4,895

    Wishing you all the very best. I hope the best rest helps with stopping the spotting and the other.