Ann,  I read your recent post with much interest.  I have a client with a
three month old baby, and mother (over 30, I think 34) has been diagnosed
with possible placenta accreta.  I had never heard of this, althouth my
client relayed that it apparently occurs once in 15 000 births - does anyone
have a definition?

In the meantime I offer my client's experience (with permission) to compare
differences and similarities.  The baby was born at term, but was small at
2500g.  Latching was difficult because the mother's nipples are flattish and
the areolar tissue is not elastic, and because of the shape of the baby's
mouth (prominent upper gum and high palate) and the mother found a nipple
shield difficult to use. So she opted to pump her EBM and, apart from a
small Qx of formula given from about Day 3 - 5, she has exclusively
breastmilk-fed her baby up to this point.  I find this especially
commendable because she has had continual on-off bleeding since birth, with
cramps etc., her OB prescribed Primolut for one week in an effort to control
the bleeding, then performed a D & C at 3 weeks postpartum.  This was
followed by strong pains, so a second D & C was done, and now there is talk
of placenta accreta. So far no other drugs have been prescribed and the
original OB and two more opinions suggest a "wait-and-see" attitude, until 6
months.

I will be interested in others' responses to your questions Ann.

Pamela Morrison IBCLC
[log in to unmask]

Ann Perry writes:
"Just wanted to share a recent case and pick all your brains.
A first time Mom in her early 30's delivered a healthy 36 weeker vis
C-section and was found to have an accreta.  The options were discussed with
this Mom and she choice to keep her uterus and receive antibiotics and
Methotrexate (Rheumatrex)....."

             ***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html