Abnormal attachment of the placenta (Placenta accreta, increta, and percreta) is an uncommon but potentially lethal cause of maternal mortality from massive postpartum hemorrhage. A 33-yr-old woman, who had been diagnosed with a placenta previa, was referred at 30 weeks gestation. On ultrasound, a complete type of placenta previa and multiple intraplacental lacunae, suggestive of placenta accre...

A 37-year-old primigravida at 35 weeks of gestation presented with known anterior wall dominant placenta previa totalis and suspected placenta accreta was successfully treated with transfundal uterine (transverse) incision performed with prophylactic common iliac artery balloon occlusion. This new surgical approach could be an alternative procedure for avoiding excessive blood loss during caesa...

BACKGROUND The reports on massive transfusions (MTs) in obstetrics have recently been an increasing trend. We aimed to define the clinical features, risk factors, main causes, and outcomes of MTs due to severe postpartum hemorrhage (PPH) and the frequency trends over the past 10 years. METHODS We retrospectively analyzed the data of 3552 PPH patients who were at ≥28 weeks of gestation in the ...

Objective: To review the use of transvaginal ultrasound for the diagnosis of placenta previa and recommend management based on accurate placental localization. Options: Transvaginal sonography (TVS) versus transabdominal sonography for the diagnosis of placenta previa; route of delivery, based on placenta edge to internal cervical os distance; in-patient versus out-patient antenatal care; cercl...

Placenta percreta is a rare pathological entity with challenging diagnostic and therapeutic requirements especially for resource limited settings. We present here the case of a 40 year old woman with a per operative diagnosis of placenta accreta during a caesarian section indicated for placenta praevia. We highlight the diagnostic and therapeutic difficulties associated with this condition espe...

1 Alev Özer, Hilal Sakallı, Bülent Köstü, Şakir Aydoğdu Department of Obstetrics and Gynecology, Kahramanmaraş Sütçü İmam University Hospital, Kahramanmaras, Turkey MATERNAL-NEONATAL OUTCOMES IN PLACENTA PREVIA ANALYSIS OF MATERNAL AND NEONATAL OUTCOMES IN DIFFERENT TYPES OF PLACENTA PREVIA AND IN PREVIA-ACCRETA COEXISTENCE PLASENTA PREVİANIN FARKLI TİPLERİNDE VE PREVİA-AKRETA BİRLİKTELİĞİNDE M...

OBJECTIVE To study the effectiveness of utero-vaginal packing in the management of primary postpartum hemorrhage due to placenta previa/accreta. METHODS We conducted this study in the Maternity Hospital, Riyadh Medical Complex, Riyadh, Saudi Arabia. This is a retrospective study covering 7 years from January 2001 to December 2007. Utero-vaginal packing was carried out by placing gauze soaked ...

background: abnormal placental invasion has increased parallel with persistent rise in caesarean delivery. management relies on accurate diagnosis and delivery should be planned at an institution with appropriate expertise and resources for managing this condition.   case: we present a case of a placenta invasion anomaly which is the major risk factors of peripartum deaths. in this case we try ...