It is typical of the attitude towards childbirth, that the first resort is to state that if you have placental accreta then will have to have a hysterectomy. It just goes to show that obs in general and hospital policy have not kept up with medical advances and evidence that support other options. I have researched, and there are other options. Unless it is the third stage precreta then I will aim for a vaginal birth, (imagine the horrendous haemorage should they cut the placenta while doing an planned RCsec) with the placenta to be removed via the vagina afterwards. If I have previa this could be complicated, and I will seek out a very specialised hospital, in Melbourne it could be the Mercy, and several opinions. I also suspect that accreta cannot be diagnosed for sure until birth, I have a titanium joint in my leg, so I don't think I can have an MRI. I may want more children, if I can only have 4 well, I am still blessed with 4. I also believe though that our uterus is an essential part of our anatomy, and removing it unnecessarily can cause other things, not just infertility. I also think that this is going to become a big issue with the rising CS rate, and the hospital system is going to need to get their act together to accomodate the increasing no. of women who will present with it.
There don't seem to be any other midwives around that are comfortable taking on a double CS Home VBAC with all the new rules etc. I am just angry, on the other hand, if we can raise awareness for other less investigative women who simply accept the hospital/obs opinions, then maybe this can have positives too.
I will keep in touch, information is the key, we can all help each other out!
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