The incidence of morbidly adherent placentas has increased ten-fold in the past 50 years, currently occurring at a frequency of 1 per 1000–2500 deliveries1,2. It is contributing to a large proportion of postpartum hemorrhages (PPH) and has led to some maternal mortalities and several surgical interventions. Current management of morbidly adherent placentas – accreta, increta and especially perc...

Ultrasound is a useful adjunct to the physical examination, particularly in obstetrics patients. By ultrasonography we visualize the placenta position in-situ and describe various positioning of placenta in the uterus. The placenta is positioned at different sites in the uterus which can predict methods of parturition. The objective of this study is to investigate the different positions of pla...

A 41-year-old woman presented to the surgical suite with an undiagnosed placenta percreta invading the bladder. The patient lost 16,000 mL of blood before the hemorrhage was surgically controlled, and a successful cesarean delivery, as well as a total abdominal hysterectomy, were performed. Ultimately, the patient was discharged 1 week later with a healthy baby. Unlike placenta accreta where th...

Placenta previa percreta with the urinary bladder invasion is a rare but potentially lethal condition. It has an increasing clinical significance due to its association with previous cesarean sections and uterine curettage. Herein, we report on a patient with placenta percreta and bladder invasion, who presented with hematuria and in whom delivery was delayed to almost full term highlighting th...

INTRODUCTION One of the ensuing complications of placenta accreta includes loss of fertility. CASE PRESENTATION An Asian origin Indian national patient with history of placenta accreta at the time of previous delivery and had conservative management with injection methotrexate after the failure of surgical intervention, conceives again and has uneventful antenatal period and parturition. CO...

OBJECTIVE To determine the risk factors for placenta praevia presenting with severe vaginal bleeding in Mulago hospital, Kampala, Uganda. DESIGN A case control study. SETTING Mulago hospital labour suite PARTICIPANTS Between 15th November 2001 and 30th November 2002 we identified and recruited thirty six parturients with placenta previa who developed severe bleeding and 180 women with nor...

Vasa previa is a rare but clinically important obstetrical complication that can be associated with a low-lying placenta or placenta previa. We aim to convey the challenges in diagnosing this condition by presenting 2 cases of pseudo vasa previa diagnosed antenatally as vasa previa using standard and color Doppler ultrasonography. Both patients were falsely diagnosed; only a low-lying placenta ...

Placenta percreta is a condition of pregnancy associated with abnormal decidua placenta. It is characterized by invasion of chorionic villi past the myometrium and serosa, towards urogenital organs. Complications include massive hemorrhage, bladder dysfunction, and severe infections during delivery. Reports suggest an increasing prevalence of this condition. From a urological perspective, this ...