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Archive for the ‘Health & Safety’ Category

Both my children suffer from this and at times it has been so bad that there has been some sleepless nights. I found this interesting article in the Jamaica Observer:


Placenta accreta is a severe obstetric complication involving an abnormally deep attachment of the placenta, through the endometrium and into the myometrium (the middle layer of the uterine wall). There are three forms of placenta accreta, distinguishable by the depth of penetration.

The placenta usually detaches from the uterine wall relatively easily, but women who encounter placenta accreta during childbirth are at great risk of haemorrhage during its removal. This commonly requires surgery to stem the bleeding and fully remove the placenta, and in severe forms can often lead to a hysterectomy or be fatal.

Placenta accreta affects approximately 1 in 533 pregnancies.


There are multiple variants, defined by the depth of their attachment to uterine wall:

Type Description Percent
placenta accreta An invasion of the myometrium which does not penetrate the entire thickness of the muscle. This form of the condition accounts for around 75% of all cases. 75-78%
placenta increta Occurs when the placenta further extends into the myometrium, penetrating the muscle. 17%
placenta percreta The worst form of the condition is when the placenta penetrates the entire myometrium to the uterine serosa (invades through entire uterine wall). This variant can lead to the placenta attaching to other organs such as the rectum or bladder[2]. 5-7%


Placenta accreta is very rarely recognised before birth, and is very difficult to diagnose. A Doppler ultrasound can lead to the diagnosis of a suspected accreta and an MRI will give more detail leading to further suspicion of such an abnormal placenta. However, both the ultrasound and the MRI rarely confirm an accreta with certainty. While it can lead to some vaginal bleeding during the third trimester, this is more commonly associated with the factors leading to the condition. In some cases the second trimester can see elevated maternal serum alpha-fetoprotein levels, though this is also an indicator of many other conditions[3].

During birth, placenta accreta is suspected if the placenta has not been delivered within 30 minutes of the birth. Usually in this case, manual blunt dissection or placenta traction is attempted but can cause haemorrhage in accreta.

Risk factors

The condition affects around 10% of cases of placenta praevia, and is increased in incidence by the presence of scar tissue i.e. Asherman’s syndrome usually from past uterine surgery, especially from a past Dilation and curettage,[4] (which is used for many indications including miscarriage, termination, and postpartum hemorrhaging), myomectomy,[5] or caesarean section. A thin decidua can also be a contributing factor to such trophoblastic invasion. Some studies suggest that the rate of incidence is higher when the fetus is female.[6]


The safest treatment is a planned caesarean section and abdominal hysterectomy if placenta accreta is diagnosed before birth.[7][8]

If it is important to save the woman’s uterus (for future pregnancies) then resection around the placenta may be successful.

Conservative treatment can also be uterus sparing but may not be as successful and has a higher risk of complications.[8] Techniques include

  • leaving the placenta in the uterus
  • intrauterine balloon catheterisation to compress blood vessels
  • embolisation of pelvic vessels

If the woman decides to proceed with a vaginal delivery, blood products for transfusion should be prepared.[9]


  1. ^ Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005 May;192(5):1458-61.
  2. ^ Miller, David A. (2 November 2004). ‘Accreta Obstetric HemorrhageHigh Risk Pregnancy Directory at ObFocus. Accessed 25 January 2006
  3. ^ Mayes, M., Sweet, B. R. & Tiran, D. (1997). Mayes’ Midwifery – A Textbook for Midwives 12th Edition, pp. 524, 709. Baillière Tindall. ISBN 0-7020-1757-4
  4. ^ Capella-Allouc, S.; Morsad, F; Rongières-Bertrand, C; Taylor, S; Fernandez, H (1999). “Hysteroscopic treatment of severe Asherman’s syndrome and subsequent fertility”. Human Reproduction 14 (5): 1230–3. doi:10.1093/humrep/14.5.1230. PMID 10325268.
  5. ^ Al-Serehi, A; Mhoyan, A; Brown, M; Benirschke, K; Hull, A; Pretorius, DH (2008). “Placenta accreta: An association with fibroids and Asherman syndrome”. Journal of ultrasound in medicine 27 (11): 1623–8. PMID 18946102.
  6. ^ American Pregnancy Association (January 2004) ‘Placenta Accreta‘. Accessed 16 October 2006
  7. ^ Johnston, T A; Paterson-Brown, S (January 2011). Placenta Praevia, Placenta Praevia Accreta and Vasa Praevia: Diagnosis and Management. Green-top Guideline No. 27. Royal College of Obstetricians and Gynecologists.[page needed]
  8. ^ a b Oyelese, Yinka; Smulian, John C. (2006). “Placenta Previa, Placenta Accreta, and Vasa Previa”. Obstetrics & Gynecology 107 (4): 927–41. doi:10.1097/01.AOG.0000207559.15715.98. PMID 16582134.
  9. ^ Committee On Obstetric, Practice (2002). “Placenta accreta Number 266, January 2002 Committee on Obstetric Practice”. International Journal of Gynecology & Obstetrics 77 (1): 77–8. doi:10.1016/S0020-7292(02)80003-0. PMID 12053897.

External links

It has been a while since I have logged in to write. Reason being I had a very difficult pregnancy and a near death delivery. I have come away with three

life lessons:

1. Trust your instincts

2. Know your body and never be afraid to call your OB over something that others think is trivial

3. Trust in the creator or God whoever he may be to you as when all things fail he will see you through

My pregnancy from the beginning was painful. But my doctor sent me to do a ultra sound which showed nothing. I had done a previous  c section so they thought the  pain from that was due to that c section cut.  But in my mind I knew something was wrong. I kept feeling this pain in my left side that as time went along got worse. Still no explanation after two ultra sounds. So I thought maybe I am just overreacting. But I noticed signs along the way that everything was not ok.

Based on past experience and what was happening I registered at UWI just in case something went wrong I had an option. Let me tell you the hours spent waiting to see on OB on your app.t day was crazy. I would have a 3pm appt and had to go at 12pm just ensure I saw the doc early to get back home in time to pick up my son from school. After three appts. and less than satisfactory care and concern I gave up and returned to my private doctor who answered my every call and concern during the entire process even though I was registered elsewhere. Let me tell you that was the single most best decision I ever made as it was life saving.

36 Weeks on from the night before I started having pains I waited a while but by the next morning I knew something was wrong and rushed to the hospital. Long and short I had my son via c section but then found out during surgery what the issue was, placenta accreta which led to further complications and an additional surgery and time spent in intensive care and after many efforts the docs telling me they had done all they could do, there is nothing more that can be done. But thanks to my doc he tried everything and thanks to alot of prayers I am alive to tell the tale.

I seriously want to say a big thank you to all the nurses on the maternity ward at Andrews Memorial. In the last moments when everyone thought the end was near she held my hand and prayed with me, I just felt a calm come over me. Also to Dr. Walcott my OB and Dr Murray my anesthesiologist and Pediatrician Dr. Miller for taking care of my son all the days he spent in the hospital and to all the assistant surgeons and to my 2 ICQ nurses . They stuck with me to the end and back. Spending countless hours at the hospital with me through the days. I would never be here without them.

I am happy to say my 5 pound baby boy is now 10 pounds at 7 weeks.

Below are some pics of the joys of my life:


My son at the hospital waiting on during one hospital visit. He was such a trooper

  • In: Health & Safety
  • Comments Off on 6 Mom-Friendly Exercises for After Baby
Courtesy Jennifer Cohen

With so many celeb moms bouncing back so quickly after having a baby, it’s hard not to feel a little envious.

But after bringing a new life into the world, the last thing you need to stress about is trying to get your old body back right away.

According to celebrity trainer and body image expert Jennifer Cohen (left), it can take at least 6 weeks to get back to your pre-baby workout levels and 3 to 9 months to lose the baby weight.

“The key to post-natal workouts is to start slow and listen to your doctor and your body so that you can become a healthy, fit mom,” she says.

To help you kick off your post-baby workouts, Cohen also shares a few simple exercises that you can do anywhere, anytime. Check them out below:

Walk! Not only is it cardio you can easily fit into your daily schedule, but you can turn it into a social time for you and other new moms in your neighborhood. Get more out of your walks by counting steps taken, calories burned and your heart rate with a heart rate monitor.

Baby Supermans. This is great way to target your arms and back. Hold your baby so you face each other, and lift your baby into the air, extending your arms. You’ll work on your tank-top arms, and your baby will love it.

Isometrics. Sit up straight, breath in and contract your abs to help ease your body back into ab work. Breath out, wait 7 seconds while keeping your abs tight. Repeat 10 times before you relax. Note: If you’ve had separation in the abs, talk to your doctor before doing ANY ab work.

Circuit Training. Set the clock for 10 minutes and do 10 push-ups, 10 squats, 10 jumping jacks and 10 crunches in that sequence. Repeating that sequence at your own pace for 10 minutes will give you a full-body workout.

Keep it short. For new moms, a shorter exercise routine can have even better results then the typical 45 minute workout. Just remember to maintain about 70-80% of your target heart rate to get the best results. Wearing a heart rate monitor will help you be more efficient because it eliminates the guess work and gives you an accurate read of your results.

Sleep. This is something that is very important and usually overlooked by new moms. Sleeping when the baby sleeps instead of catching up on work or housework or even a workout can be the missing key in weight loss. Hormones that control appetite and help the body reduce stress (thus reducing cortisol, which is a weight gaining hormone) are only activated when we sleep.

Article from

  • In: Health & Safety
  • Comments Off on Hair Dyeing Tips for New Moms and Moms-to-Be

Hair Dyeing Tips for New Moms and Moms-to-Be

Adhemar Sburlati/Broadimage; Charley Gallay/WireImage


To dye or not to dye! When you’re a mom-to-be, it’s so hard to decide especially since there are so many conflicting reports on whether it’s truly safe for your baby. We recently chatted with Mazza BenTov (below), a colorist at the Valery Joseph Salon, to help clear up any confusion.

Lucky for us, she’s very knowledgeable about the topic — she’s a new mom to a 9-month-old. If you’re looking to highlight or completely color your tresses, make sure to check out her tips below.

Consult Your Colorist. Once you become pregnant, let your colorist know so you can discuss the safest options for all-over color or highlights. With highlights and using foils, there is a lot more room for the color to accidentally touch the scalp so ask your colorist to try balayage. It’s more precise so there’s more control over where the color is going. But if you’re still having doubts about whether coloring is safe, talk to your doctor.

Do Your Research. If you want to color at home, there are lots of at-home coloring treatments with little to no chemicals. Just do your homework. If you’re pregnant, I wouldn’t recommend all-over color unless you have permission from your doctor and are working with a professional. But if you’re a new mom, L’Oréal’s ammonia-free Healthy Look is a great option for all-over dyeing. But ultimately, it’s best to go to a colorist because over the counter coloring kits are easy to mess up.

Courtesy Valery Joseph Salon

Try Ombre Highlights. Since you’re only lightening the tips of the hair, it’s safer than most highlights. And it’s very low maintenance, especially if you have long hair. You could go for up to 4 months and not worry about it, which is a great money saver too. For the ombre look, tell your colorist to use soft balayage so it’s not a harsh color change. You want it to look subtle, yet add definition and dimension.

Go Ionic. After birth, many women lose hair and hair becomes temporarily dry and brittle because of all the hormonal changes you’re going through. To help rejuvenate your locks and keep your color rich, try an Ionic Hair Treatment. This involves flat ironing crystals into damp hair to hydrate it. It usually lasts about a month and really makes your hair shine.

  • In: Health & Safety | News
  • Comments Off on Giuliana Rancic: We’re Trying IVF Once More ‘In the Near Future’

From People:

Giuliana Rancic: We’re Trying IVF Once More ‘In the Near Future’

Jeff Sciortino

After two unsuccessful rounds of in vitro fertilization, Giuliana and Bill Rancic still aren’t giving up hope of one day becoming parents.

“One time sadly we miscarried and the other time didn’t work, so it’s been really tough,” the E! News host shared during a Tuesday visit to The Talk.

“We’re going to do IVF another time in the near future because our doctor suggested, ‘I think I can get you pregnant.’”

And if their third try doesn’t end in a pregnancy, the couple are already considering their other option: adoption.

“When we were in Italy recently I felt very connected to Naples, where I’m from. We thought it would be really wonderful to be able to adopt a child from where I’m from and give a child there some opportunity,” Rancic explains.

Much to her surprise, however, news of the possibility of a foreign adoption struck a chord on Twitter.

“I got some Tweets … of people saying, ‘You should adopt from America’ and ‘A lot of kids need help’ and of course that’s true, but you know what? How can you tell a woman where she should adopt from?’” she questions. ”You’ve got to follow your heart. So if it’s a foreign country, if it’s in your backyard … A child is a child.”

Despite their “really tough” battle with infertility, Rancic is determined to keep an upbeat attitude. “Right now we’re doing a year of fun — we just needed time off,” she says. “You’ve got to look at the positive.”

– Anya Leon

Harley Pasternak: Kick Off Your Post-Baby Workout by Walking

Courtesy Harley Pasternak

Blink, and you’ll miss it! That’s how quickly stars get back in shape after welcoming a baby, but celebrity trainer Harley Pasternak says regaining one’s pre-baby body is easier to manage than most people think.

“Walking as much as possible is something that I tell moms to really do,” he told PEOPLE. “As often as you can with your baby, that’s really important. Just some way to keep physically active and keep moving.”

But before making a full-time return to the gym, Pasternak, who has worked with Milla Jovovich, Alicia Keys and Jennifer Hudson, says moms should make sure their doctor has given them medical clearance.

“When you’re coming back, you want to do it gradually,” he said. “Most people have been a lot less active, not just during the nine months that they’re pregnant, but in the several months after, sometimes up to six months after that, so to come back hardcore is just dangerous.”

After building up their stamina, Pasternak puts his clients on a 5-phase program that’s utilized five days a week.

“Phase 1 is a cardio warm-up. It can be something as simple as walking outdoors with your baby or doing stationary cardio, such as jumping jacks or jumping rope without a jump rope, for at least five minutes,” he said.

“Phase 2, we do upper body strength, lower body strength and abdominals. We repeat that circuit of three things, three times. Phase 5 is a cardio cool-down. Run, jog, walk, or jump rope for at least five minutes.”

Based on what a client wants to concentrate on, the program can be further focused, as was the case with Hudson and Jovovich.

“The back row is important [for Jennifer],” Pasternak said. “Quite often, when you’re with your baby, you tend to be slouched a bit. It really helps your shoulders come back and your mid-section. Milla’s really big into stiff leg dead lifts, toning and tightening the backs of her thighs and her butt.”

Just as important, moms should also be aware of their nutrition when returning to working out.

“It’s important to get back to eating five times a day, three meals and two snacks,” Pasternak said, noting that meals should consist of a low-fat protein, a healthy carbohydrate, a fiber, a sugar-free beverage and a healthy fat. “And it’s also great to have a multi-vitamin.”

Kiran Hefa

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