Want to have your 3rd baby? How Dangerous Is Placenta Accreta?

Want to have your 3^rd baby? Then, you must know that placenta accreta is an abnormality of fixation of the placenta in the uterus, its villities penetrating to the myometrium or even deeper.

It can be a danger during birth or after birth because it can not be separated from the uterus, sometimes causing severe bleeding. In this article you'll learn how dangerous is placenta accreta, and you'll also get a bonus of 10 tips you should know if you want to have your 3^rd baby.

Facts about Placenta Accreta.

Although this condition is rare, over the past 30 years there has been an increase in cases of placenta accreta reflected by the large number of births by c-section, which is a risk factor for placenta accreta. Currently, placenta accreta occurs in about 1 in 2,500 births.

Risk factors for Placenta Accreta.

Placenta Accreta occurs most commonly in cases of placenta praevia with previous uterine surgery including c-section.

In women with a c-section who are currently presenting placenta praevia, the risk of Placenta Accreta is of 25%.

For women with two previous c-sections, this risk increases up to 40%.

Other risk factors for Placenta Accreta include:

l  Old maternal age

l  Smoking

l  Asherman's syndrome

l  Elevated alpha-fetoprotein serum

Symptoms and treatment for Placenta Accreta.

The Placenta Accreta shows no symptoms.

Placenta Accreta can cause massive blood loss. This is why hysterectomy is probably the only treatment of choice. Other methods of avoiding hysterectomy include forced manual removal of placenta by the doctor, but it can cause large blood loss.

The doctor will be interested in the woman's obstetrical history and will ask for more details about previous uterine or c-sections surgeries and location of placenta in the current pregnancy if known.

This information is extremely important given that Placenta Accreta occurs frequently in women with placenta praevia and surgical uterine history.

Diagnosis of Placenta Accreta

When there is suspicion of Placenta Accreta, the following investigations may be recommended:

l  Ultrasound - Ultrasound is the most commonly used imaging method for early diagnosis of Placenta Accreta. The most common feature that would suggest Placenta Accreta is the appearance of placenta looking like a Swiss cheese. Ultrasound can be done from 15 weeks of pregnancy but is more accurate at 20 weeks of pregnancy or even later.

l  MRI can be used to diagnose Placenta Accreta - However, when the placenta is located behind the uterus, ultrasound is more appropriate.

l  Maternal alpha-fetoprotein serum - up to 45% of women with Placenta Accreta have elevated levels of alpha-fetoprotein serum.

In cases of placenta accreta, maternal counseling is recommended to plan birth and to determine possible interventions during birth.

10 tips you should know if you want to have your 3^rd baby!

1.     The third child may feel like a real barrier on his/her brothers in the path of the affection he/she needs to receive from you and your husband (especially if he is of the other sex than the first two), of he/she will feel more reluctant and will tend to isolate himself/herself from the rest of the family. I think you need to have a special care to integrate this child into your family and you always send a loving message to all your kids in equal measure.

2.     From a psychological point of view, it will be prone to work more than others, and to seek to constantly thank others. He will also be more diplomatic, and more willing to negotiate and compromise. I think this will help you understand a few things about the psychology of the third child and not let it grow by himself/herself.

3.     It is most often that the third child is the smartest of all your children. From an emotional point of view, it may be the coldest and most neutral. Play with him, but especially do so to involve all three children in certain games and actions. A special effort must be made to cultivate the sense of harmony and equality in a social group for the third child.

4.     Take great care of your health! Already after your third pregnancy, your body may feel quite tired if not even disturbed. It would be good to try a vitamin treatment and some exercises to get you up on feet to healthy raise your kids.

5.     Gather all your three children on a Sunday afternoon and read them stories about family situations and the roles of members in a family. This will help them understand their own role both in the family and in society, and they will learn the true meaning of the word 'respect'.

6.     Organize activities involving all family, such as hiking, social games, going to church on Sundays, or others. Thus, they will learn how to accommodate to the world and its rules and they will learn to respect them.

7.     In raising the third child, it is obvious that you also have to keep in mind the growth of others. For example, when you give milk to the baby, the other two may watch TV. Try involving the other two children in educative activities when you're taking care of the youngest one.

8.     Make bedtime a routine. It would be great if you could make a daily schedule for the two older children, a schedule that includes meal times and bedtime hours. You will have time for all your children and you will also have time to spare for yourself.

9.     Make time to stay with each of them, and make sure everyone takes their maternal love. There is a great risk of overwhelming your worries and starting to get yourself right on the track of not having time for anything, which is a track that will always lead to depression.

10.  Discard perfectionism. You're already a heroine as you keep your third child in your arms. You also see that you do not have to make surreal efforts to educate them. It is important to give them enough attention and love. Seek to know the third child, see exactly what his person needs, but do not try too hard to do it all perfectly this time.