Management of morbidly adherent placenta
نویسندگان
چکیده
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 multidisciplinary approach is the conventional treatment for confirmed cases of morbidly adherent placenta. However more conservative fertility saving approaches are also used successfully.
منابع مشابه
Successful pregnancy outcome following conservative management of morbidly adherent placenta.
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...
متن کاملRole of interventional radiology in the management of morbidly adherent placenta.
The incidence of morbidly adherent placenta is rising and is directly proportional to the rate of rise of caesarean deliveries. Despite improvement in antenatal diagnosis, by accuracy of ultrasound and MRI techniques, placenta accreta is still associated with a high maternal morbidity rate. Management of pregnancies with a morbidly adherent placenta is extremely challenging and is becoming an i...
متن کاملLate complication due to placenta increta left in situ and management options.
With the rising incidence of caesarean sections, the number of cases of placenta praevia and morbidly adherent placenta is increasing. Antenatal diagnosis and management in a tertiary care centre helps to reduce maternal and neonatal morbidity and mortality. We present a patient in whom the antenatal diagnosis of morbidly adherent placenta was missed due to late booking. In spite of the conserv...
متن کاملManagement and maternal outcome in morbidly adherent placenta.
BACKGROUND Morbidly adherent placenta (MAP) with its variants is one of the most feared complications causing high morbidity and mortality in obstetrics. The objective of this study was to analyse different management options and maternal outcome in diagnosed cases of morbidly adherent placenta. METHODS Descriptive case series was carried out in Obstetrics and Gynaecology Department, Combined...
متن کاملRising incidence of morbidly adherent placenta and its association with previous caesarean section: a 15-year analysis in a tertiary hospital in Hong Kong.
OBJECTIVES To identify the incidence of morbidly adherent placenta in the context of a rising caesarean delivery rate within a single institution in the past 15 years, and to determine the contribution of morbidly adherent placenta to the incidence of massive postpartum haemorrhage requiring hysterectomy. SETTING A regional obstetric unit in Hong Kong. PATIENTS Patients with a morbidly adhe...
متن کامل