Comments on: Placenta accreta – a risk of cesarean section

By: Jen from vbacfacts.com

Jen from vbacfacts.com — Sun, 28 Mar 2010 06:01:33 +0000

Hi Morgan!

According to Silver (2006), a four year study of up to six repeat cesareans performed on 30,000 women, there is a 2.13% chance of accreta and a 2.41% chance of hysterectomy during a fourth cesarean. In other words, 1 in 47 women will have accreta and 1 in 41 women will have a hysterectomy.

Counter that with the rates in a first cesarean: 0.24% for accreta (1 in 417) and 0.65% for hysterectomy (1 in 154).

The rates for accreta and hysterectomy dramatically increase as the number of cesareans increase.

It’s also interesting to note that the rate of hysterectomy in a second cesarean (Silver, 2006) is the same as the rate of uterine rupture in a spontaneous labor after one prior cesarean: 0.4% (Landon, 2004). Both are the effective end of a woman’s fertility.

Warmly,

Jen

By: Anna

Anna — Sat, 13 Mar 2010 19:54:12 +0000

I think it is crucial for women to talk to their doctors about the potential risks associated with cesarean sections. It is also important to acknowledge the number of lives that have been saved by this procedure. Nothing comes without the potential for complications. With improved awareness, screening, planning and management, placenta accreta may have more promising outcomes.

By: Jennifer

Jennifer — Fri, 05 Feb 2010 10:12:40 +0000

I’m glad i found this. I am not even a week overdue and my ob is insisting on a c-section because I had one previously. I also had a vaginal delivery and feel like I’m being forced into having a c-section. I remember how long it took to recover from the c-section and how I couldn’t even hold my child for the first 2 hours. I don’t want to miss out on that again. Thank-you for this article!

By: Morgan

Morgan — Mon, 03 Aug 2009 19:19:20 +0000

I am with you on encouraging VBAC’s rather than another c-section for women who are good candidates for one.

I also think it’s important for women that have had multiple c-sections to know that the risks for Placenta Accreta are low. Many women go on to have 4 or more c-sections without any problems at all, and yet I’ve met (and read about) women that have had accreta in a pregnancy after only 1 or 2 c-sections. C-sections don’t have to end a woman’s childbearing years early, but it is good to know the risks to make that decision.

By: Placenta accreta – a risk of cesarean section « Doula Momma

Placenta accreta – a risk of cesarean section « Doula Momma — Mon, 03 Aug 2009 11:09:20 +0000

[...] Posted by doulamama1 on August 3, 2009 This is a very good article from vbacfacts.com. [...]

By: MM

MM — Mon, 03 Aug 2009 03:35:16 +0000

This article is torturing me. I have a friend who was talked into a c/s with her first baby because “at 41 weeks nothing was happening down there”. And now she’s pregnant again, loves loves loves her OB, and I’m 99.9% sure she’s already scheduled. I really want to send this to her, but it will never come across the way I would want it to. Add to it, all of this coming from a girl who has had two c’s of her own…

Like I said, torture.