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Sunday, January 30, 2011

Conception, Placenta Accreta, Battledore Placenta

Before conception, the uterus is a small pear-shaped organ entirely contained in the pelvic cavity.  Before pregnancy, the uterus weighs approximately 60 grams (2 oz) and has a capacity of about 10 mL (one third of an ounce).  At the end of pregnancy, the uterus weighs approximately 1000 grams (2.2 pounds) and has a sufficient capacity for the fetus, placenta, and amniotic fluid, a total of about 5000 mL.

PLACENTA ACCRETA
     is abnormal attachment of the placenta to the uterine wall (decidua) such that the chorionic villi invade abnormally into the myometrium.
     A definitive diagnosis of Accreta is not possible prior to delivery.  However, it may be possible to detect Accreta with Transvaginal ultrasound.
In the majority of cases, hysterectomy remains the procedure of choice.

     BATTLEDORE PLACENTA
     The umbilical cord inserts into the side of the placenta.
     There is no higher risk of pregnancy loss or C-sections with a marginal cord.
     There is however, a risk of being put on bed rest or induced early if growth is not adequate.