Morbidly Adherent Placenta: A Critical Review

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چکیده

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Management of morbidly adherent placenta

Morbidly adherent placenta is a rare complication of human placentation that may threaten maternal life due to massive haemorrhage. Its incidence is increasing due to the rising caesarean section rates worldwide. A high degree of clinical suspicion coupled with ultrasonography, magnetic resonance imaging, and cystoscopy helps in antenatal diagnosis. Elective caesarean hysterectomy with a multid...

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Conservative management of morbidly adherent placenta: expert review.

Over the last century, the incidence of placenta accreta, increta, and percreta, collectively referred to as morbidly adherent placenta, has risen dramatically. Planned cesarean hysterectomy at the time of cesarean delivery is the standard recommended treatment in the United States. Recently, interest in conservative management has resurged, especially in Europe. The aims of this review are the...

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Morbidly Adherent Placenta (MAP): Lessons learnt

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Hysterectomy as a management option for morbidly adherent placenta.

OBJECTIVE To determine the outcome of interval (delayed) hysterectomy as compared to cesarean (immediate) hysterectomy in cases of placental invasion in previous cesarean sections. STUDY DESIGN Comparative study. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynecology, Unit II, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from January 2008 to June 2011. METHODOLOGY T...

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Adherent placenta is an uncommon but potentially dangerous complication of pregnancy. Hysterectomy remains the ‘‘Gold Standard’’ and lifesaving procedure in the management of adherent placenta. However, with careful selection of cases and meticulous monitoring, successful conservative management is possible with the use of methotrexate. Here, we report a case of successful pregnancy outcome for...

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ژورنال

عنوان ژورنال: The Journal of Obstetrics and Gynecology of India

سال: 2012

ISSN: 0971-9202,0975-6434

DOI: 10.1007/s13224-012-0149-5