I wonder if this risk of c-section is listed on the consent form? If the
TRUE risks of c-section were disclosed, I suspect women would take greater
steps to avoid them. This is good information for a prenatal class.

Lisa Boisvert Mackenzie


Date:    Sat, 5 Feb 2005 16:04:21 -0800
From:    Lisa Marasco IBCLC <[log in to unmask]>
Subject: consequence of rising cesarean rate

I've been doing some research on placental retention, including accreta,
increta and percreta. I was dismayed to discover the connection between
these conditions and c-sections. The connection to previa we can't really
control, but the connection to c-sections?  And the problem with
accreta/increta/percreta is the difficulty in getting the placenta out
without hemorrhage. Sometimes drugs work, but not always. If manual
extraction is attempted and fails acute hemorrhage can require hysterectomy,
losing fertility. An alternative approach of leaving the placenta in situ
may save the uterus but at the expense of lactation. We may be facing this
more in the future.

Lisa Marasco


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