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Old 09-28-2010, 07:41 AM   #1
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Red face Possble placenta accreta and P17 injections?

With Payton (my last) I refused them and said I'd rather to bedrest, then I did 19 weeks of bedrest and a delivery at 33 weeks and decided I'd rather try something else and do everything I could to keep the baby in. I agreed to them, of course worried because the side effects say blood clot and am already at high risk since I can't move...but then I had my appt on Wednesday and heard the news about the 40% chance of placenta accreta (a potentally deadly condition for me), the placenta previa and already a short cervix (I am 15 weeks 5 days)...they overnighted the P17 shots to me the day after I concented...so now I am not sure about them. I know with accreta they will take the baby out at around 34 weeks regardless of PTL...so I wonder how hard they'll fight to even keep it in that long...the longer she is inside, the more dangers for the mother it is...selfish as it sounds my job is to take care of the children I have and in doing that I need to be safe and get her out as soon as she has a good chance...I am just not sure I have the will to keep her in and fight hard this time...

The home nurse wanted to come out on Thursday to give me my first shot, and I told her I had to wait until I had my specialist appt on Friday that I had bad news after I consented to the injections and now I was second guessing my decision...I just don't know what to do...I am sure they aren't going to work anyway with an already short cervix, and with accreta and my history almost a certain pre-term baby...seems pointless and cost me $175 a WEEK until I pay $1000 more to meet my deductible.

WWYD?

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Old 09-28-2010, 08:01 AM   #2
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Re: Possble placenta accreta and P17 injections?

Mama, why do they susupect an accreta? Have you had one before? Or is it the P17 injections that can increase the risk of it? Accretas are extrememly difficult to diagnose unless they are severe and usually it is only possible to diagnose them with MRI (occasionally they do come up on u/s but very, very rarely). I did have one with ODD which was undiagnosed during pregnancy. I did almost lose my life. I was fortunate to keep my uterus which is another very real risk with accreta.

I am followed by a peri and they can often "guess" whether you *may* have one based on the margins between the placenta and the uterine lining. I'd see your specialist on Friday and go over your list of concerns (or call and discuss it on the phone). I don't know a lot about the injections but if you do already have an accreta, you need to be followed extremely closely. That is a tough decision. I hope everything works out ok because I would not wish my delivery (and postpartum) experience on anyone.
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Old 09-28-2010, 08:13 AM   #3
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Re: Possble placenta accreta and P17 injections?

I have had 3 previous c-sections, placenta previa and an anterior placenta covering my c-section scar. With the previous c-sections + the abnormal placing of the placenta everywhere I have found (and my OB office) has let me know that I have a very good chance (40% of having it). They are doing a vaginal level II u/s on Friday to check the blood flow and the Maternal Fetal Specialist can see if it has started growing into the uterus this way (at least they told me they can tell), they will confirm and see how bad it is with MRI but they can see if I have it this way also. The MRI will let them know if the accreta has turned into placenta percreta or placenta increta which is even more dangerous but also more rare. They said that the placenta attaches very firmly to scar tissue because of the lack of nutrients in that part of your uterus (the nutrient rich part is generally at the top) so it holds on harder and goes deeper to get the nutrients it needs...it can penitrate all the way through the uterus and attach to the bladder, bowel and other vital oragns.

Thank you Megan for sharing your story I am glad to hear you made it through and safe with this dangerous condition! *hugs*
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breastfeeding, cloth diapering, babywearing,
extended rear facing, no-circ, no-vax, no-fluoride, proud SAHM/photographer mommy to
Riley (6), Skyler (4) , Payton (2) & our new baby Quinn Mackenzie My Blog

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Old 09-28-2010, 02:08 PM   #4
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Re: Possble placenta accreta and P17 injections?

I have preterm labor too, althought not he accretia. This pregnancy I haver started the 17P injections in an effort to ward off preterm labor as long as possible. I know that it won't stop the labor for the whole pregnancy (I have major anatomy issues) but my reason is that every week I am able to stay active and "normal" is a good thing. It doesn't just help me and baby, it helps my other kids. Normally I am on full bedrest by 22 weeks, with partial bedrest from about 18 weeks along. I am now 21 weeks and am showing no real signs of preterm labor. Personally speaking, I think it is worth it to try the shots and see if they help. If you don't like them, you don't have to keep taking them.

Also, it is costing me $44 a month for the actual medicine (no insurance) and my husband gives me the injections. They are super easy to do. I even did one myself, but I prefer him to give them. So maybe that would be an option for you.
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Old 09-29-2010, 10:21 AM   #5
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Re: Possble placenta accreta and P17 injections?

bump, anyone else?
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breastfeeding, cloth diapering, babywearing,
extended rear facing, no-circ, no-vax, no-fluoride, proud SAHM/photographer mommy to
Riley (6), Skyler (4) , Payton (2) & our new baby Quinn Mackenzie My Blog
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