Objective Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta), the number and quality of previous studies are limited. We present a case of placenta accreta requiring an induced second-trimester abortion because of premature rupture o...

The incidence of placenta previa is 0.2-0.9% but continues to be one the most serious factors in development obstetric’s bleeding and perinatal losses. situation aggravated by fact that combined with various variations abnormal (deep) attachment uterus (placenta adhaerens, accreta, increta, percreta). Placenta previa, vasa cause significant maternal morbidity mortality. With increasing both ces...

Objective: To assess the value of adding three-dimensional (3D) power Doppler (as a diagnostic technique) to grayscale in the prenatal diagnosis of placenta accreta. Material and Methods: One hundred pregnant women with persistent placenta previatotalis (after 28 weeks' gestation) were prospectively enrolled into this study. Gray-scale transabdominal ultrasound was performed to detect loss of t...

PURPOSE We present anesthetic management using a continuous spinal anesthesia (CSA) technique in a patient with placenta increta who underwent elective Cesarean hysterectomy with massive postpartum hemorrhage. CLINICAL FEATURES A 34-yr-old parturient (G3P2) was scheduled for Cesarean delivery and possible hysterectomy at 35(+3) weeks due to suspected placenta accreta. Her body mass index was ...

OBJECTIVE To evaluate the effectiveness of human recombinant activated factor VII (rhFVIIa, NovoSeven) in avoiding hysterectomy postpartum in the management of severe postpartum hemorrhage (PPH). METHODS We performed a prospective cohort study at our university tertiary care center. Patients with severe post partum hemorrhage (blood loss >2000 mL) and failed medical and uterus-preserving surg...

In recent years with the increase in cesarean section rates, the frequency of placenta accreta cases rises. It causes 33-50% of all emergency peripartum hysterectomies. We present a 42-year-old case who was caught with early postpartum hemorrhage due to retained placental products. The ultrasonography showed a 65 × 84 mm mass in the uterine cavity after the delivery. Due to presence of early po...