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  1. #1
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    Default 2 retained placentas - risk of accreta?

    DH and I are contemplating TTC our 3rd child, but we are having some major issues. I have had previous retained placentas (1st I had an epidural so it was manually removed in the birthing suite, the 2nd I had to be rushed off to the OR as I had lost 2L of blood, given a spinal block and then had the placenta removed manually - other than low Hb I recovered well).

    We were originally content with our 2 beautiful children (now 5 and 3), but recently we have been seriously thinking (even getting excited) about a possible 3rd. My husband had major concerns after how the last birth went, so I made an appointment with an OB so we could discuss possible outcomes. she has possibly scared us out of having a 3rd and I am terribly saddened by this. She informed us that there is a 50% chance of another retained placenta (which I actually expected to be a lot higher), but we also had an increased risk of Placenta Accreta (placenta grows through the uterine muscle making removal impossible and can lead to major blood loss and hysterectomy).

    has anyone had 2 retained placentas and gone on to have more children? If so what was the outcome? We're you monitored for Accreta? Is this something that worried you?

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    My SIL had retained placenta in her first 2 births, went on to have a third and had a csection so her OB could make sure it was all out- she still ended up back in hospital with retained placenta and infection. She went on to have a 4th and developed accreta- stayed in hospital for 8 weeks with bleeds from 26 weeks and then had a csection and hysterectomy at 34 weeks. I wish I could give you a more positive story, sorry.

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    Shebes  (02-12-2013)

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    I don't have advice, just subbing for the info.

    I wish you all the best

    Sent from my GT-I9100T using The Bub Hub mobile app

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    Are you in a similar situation dancingchipmunk?

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    I'm interested to hear other stories - I had retained placenta with my first where I lost about 2L of blood too. I was induced so already had the drip in, I had it removed in theatre under a general. I wasn't aware of the future possible issues. Eek.

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    Greencheese, no one really told me about future issues either. But most people told me after the first that it doesn't necessarily mean you will have another. So I wouldn't be too concerned after your first.
    I have also been reading recently that having the manual removal can also cause damage to the endometrium lining when they scrape it out It can cause scarring which can affect fertility. It's called Asherman's syndrome. This scarring is what increases risk of accreta.

    i think my DH and I have decided against having another and I can't believe how much it has affected me. My head tells me it's the best decision, but my heart is aching for another baby

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    Quote Originally Posted by Shebes View Post
    Are you in a similar situation dancingchipmunk?
    Kind of. I would love a third child but after my first two births we just aren't sure.

    With my first they massaged the remaining placenta out but with ds2 I went into theatre. I don't have my records on hand at the moment for exact terminology and volume of blood loss but I know it was a fair bit for each. Worse with the second.

    Good luck. I hope you're able to find some answers

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    Oh Shebes, I just finished reading your follow up post.

    I'm sorry. I think we're in the same spot. I'm still hopeful but I just don't know.

    Sent from my GT-I9100T using The Bub Hub mobile app

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    Shebes  (03-12-2013)

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    Oh wow this is scary. My first placenta was manually removed in theatre after a posterior bub. I had a retained placenta with my 2nd and lost 2L of blood, I was told another retained placenta was VERY unlikely. Of course I again retained placenta and lost 2.2L this time. We will have a 4th...and I'm guessing it will happen again. Accreta sounds very scary and will definitely be something I will be. Talking with my middie about

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    Thepouts it is reassuring to hear that you went on to have a third and didn't experience anything too serious. Of course a retained placenta and blood loss is serious, but I have been through that and I know what is involved. Was your 3rd managed differently? Did you have to have epidural, induced or c-section?


 

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