(Am J Obstet Gynecol. 2020;223:322–329) Placenta accreta spectrum (PAS) is associated with notable surgical risks, especially in cases of placenta previa-percreta. Surgical blood loss the key cause morbidity or mortality surgery for PAS. Multidisciplinary management PAS has developed and improved, leading clinicians to reexamine use interventional radiology techniques ligation anterior division...

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...

We report the findings of a 34-year-old patient with a past history of a straightforward postoperative course following a transverse cesarean section for delivery of her first child. During her second pregnancy an anterior placenta previa covering the internal cervical os was identified. No metrorrhagia was reported. The first ultrasound examination, performed at 30 weeks in our department, rev...

OBJECTIVE Abnormally invasive placenta (AIP) poses diagnostic and therapeutic challenges. We analyzed clinical cases with confirmed placenta increta or percreta. DESIGN Retrospective case series. SETTING Multicenter study. POPULATION Pregnant women with AIP. METHODS Chart review. MAIN OUTCOME MEASURES Prenatal detection rates, treatment choices, morbidity, mortality and short-term out...

Uterine necrosis is one of the rarest complications following pelvic arterial embolization for postpartum hemorrhage (PPH). With the increasing incidence of cesarean section and abnormal placental localization (placenta previa) or placental invasion (placenta accreta/increta/percreta), more and more cases of uterine necrosis after embolization are being diagnosed and reported. Pelvic computed t...

We report a new entity of prominent decidual vasculature overlying the internal cervical os which caused life-threatening antepartum uterine bleeding in a rhesus (Rh) D-negative patient at 32(+5) weeks' gestation. Cesarean hysterectomy was performed because of diffuse placenta increta. Early hospitalization, advanced preparation for emergency cesarean section, and timely blood transfusion, incl...