Conservative management of abnormally invasive placenta: four case reports
- 14 February 2013
- journal article
- case report
- Published by Wiley in Acta Obstetricia et Gynecologica Scandinavica
- Vol. 92 (4), 468-471
- https://doi.org/10.1111/aogs.12079
Abstract
Prenatal diagnosis of placenta increta and percreta is essential to avoid potentially life‐threatening hemorrhage by optimizing peripartal management. Invasive placentation presents significant challenges at cesarean section even for highly skilled surgeons. In the four cases of placenta increta/percreta presented here we tried to avoid hysterectomy by leaving the placenta behind and tried to accelerate regression of placental tissue by administering methotrexate. The outcome in each of the four women was different, but no major bleeding occurred in any of the cases. Close follow‐up for many weeks is mandatory.Keywords
This publication has 11 references indexed in Scilit:
- Epidemiology, Etiology, Diagnosis, and Management of Placenta AccretaObstetrics and Gynecology International, 2012
- The morbidly adherent placenta: an overview of management optionsActa Obstetricia et Gynecologica Scandinavica, 2010
- Maternal Outcome After Conservative Treatment of Placenta AccretaObstetrics & Gynecology, 2010
- Effect of Predelivery Diagnosis in 99 Consecutive Cases of Placenta AccretaObstetrics & Gynecology, 2010
- Abnormal Placental Invasion—a Novel Approach to TreatmentObstetrical & Gynecological Survey, 2009
- Optimal management strategies for placenta accretaBJOG: An International Journal of Obstetrics and Gynaecology, 2009
- Conservative Management of Abnormally Invasive PlacentationObstetrical & Gynecological Survey, 2007
- Management of placenta accreta: Morbidity and outcomeEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 2007
- Antenatal diagnosis of placenta accreta: a reviewUltrasound in Obstetrics & Gynecology, 2005
- Abnormal placentation: Twenty-year analysisAmerican Journal of Obstetrics and Gynecology, 2005