I think that they are absolutely trying to scare me out of having a homebirth. They lost the trial of scar argument (I vba2c so I know my scar will hold, first and second baby were emergency (but not really medically necessary) cs at 9cm, third was a natural birth in a caseload hospital. I have moved to another town, and there is no caseload here. They lost the big baby argument, they lost the but emergency cs are more dangerous than elective argument, and so I guess they resorted to accreta and hysterectomy. I have an anterior placenta extending to the internal os. I have been researching accretas too, they are almost impossible to diagnose for sure, I can't have an MRI as I have a titanium knee and thigh, I don't want unnecessary ultrasounds. I doubt that pertinent information will double from having two scans, I think I will say no, and have another later for the potential praevia. With an anterior placenta, and a previous scar the risk of accreta increases by 30 - 40%, which sounds drastic, but the general risk is 1 in 2500, so increasing that by 40% still makes it only about 1.4 in 2500, just under 3 in 5000, not so high after all.
Did you birth vaginally with your mild accreta (there are 3 levels?). and in theatre what did they do, open you up to remove it? I am 24 weeks now.
I have to talk to my IM about this, she is already on dangerous ground taking me, such a risky patient, however to be honest I have not felt much affinity with her. I don't know if I want to birth with her or not, I do know that I DO NOT want to birth at the hospital now, when I said that I wanted to birth in a safe, supportive, gentle environment the ob told me I was welcome to have my lights dimmed and my aromatherapy, a fundamental misunderstanding of what I meant by supportive. I would love to hear what your research throws up, I was very rattled when I left the hospital today. I only went to organise the paperwork just in case I need a transfer from home, I was expecting them to disagree with my choice, but not the hysterectomy talk!
Keep in touch!! And good luck with bub no3, this will be my 4th, all boys for me!!
Kate