Second trimester termination of pregnancy complicated with multiple fetal abnormalities and also placenta percreta

Termination of second trimester pregnancy.

Dilatation and currettage or vaccum aspiration is an accepted method of termination of pregnancy in the fimt trimester. Search is still being made for an ideal method of termination of pregnancy in the 2nd trimester. Between 14-16 weeks of pregnancy vaginal transcervical injection of intra-amniotic saline can be done. After 16 weeks of gestation abdominal or vaginal route can be employed. Vario...

Second trimester placenta percreta presenting as acute abdomen.

Diagnosing placenta percreta can be difficult. We describe a 41-year-old woman presenting at 21 weeks' gestation with intraabdominal bleeding and no signs of placental abnormality on ultrasound. The disagreement between results of the ultrasound and magnetic resonance imaging made definitive diagnosis difficult. The bleeding resolved spontaneously after a blood transfusion, and the patient was ...

Hemoperitoneum Caused by Placenta Percreta in the Third Trimester of Pregnancy

The placental adhesive disorders such as placenta accreta and placenta percreta are the rare causes of serious obstetric hemorrhages. They are associated with high maternal morbidity and mortality. Placenta percreta is usually diagnosed in the third trimester of pregnancy as a massive postpartum hemorrhage when an attempt to remove the placenta reveals lack of a cleavage plane. Here we report a...

Placenta Percreta Resulting in Incomplete Spontaneous Abortion in First Trimester

Pre-induction with Mifepristone for Second Trimester Termination of Pregnancy.

OBJECTIVE To study the efficacy and safety of combining mifepristone before misoprostol use in second trimester to considerably reduce the induction-abortion interval with the lowest possible dose and adverse reaction. MATERIAL AND METHODS A prospective study was conducted which included 60 patients visiting the antenatal OPD for elective abortions between 13 and 20 weeks of gestation as per ...