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...

A 35-year-old woman with recurrent severe placenta-mediated pregnancy complications in her 2 pregnancies asks: Will low-molecular-weight heparin help prevent recurrent placenta-mediated pregnancy complications in my next pregnancy? We performed a meta-analysis of randomized controlled trials (RCTs) comparing low-molecular-weight heparin (LMWH) vs no LMWH for the prevention of recurrent placenta...

This case demonstrates a rare event of retained invasive placenta masquerading as choriocarcinoma. The patient presented with heavy vaginal bleeding following vaginal delivery complicated by retained products of conception. Ultrasound and computed tomography demonstrated a vascular endometrial mass, invading the uterine wall and raising suspicion for choriocarcinoma. Hysterectomy revealed retai...

Abnromalities of placentation, including placenta accreta, represent a major source of morbidity and mortality among women. Traditional management consists of peripartum hysterectomy at the time of delivery, although more conservative treatments have also been developed recently. In this review we describe the available literature describing the operative approach and considerations for managem...

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 Emergency hysterectomy (peripartum) is a high-risk surgery that almost always is done in the treatment or prevention of severe and life-threatening bleeding that occurs after vaginal delivery or caesarean. OBJECTIVE To compare the frequency and causes of emergency hysterectomy along with the vaginal delivery and caesarean section (CS). METHODS The cross-sectional research was con...

OBJECTIVE To determine the risk factors for severe abruptio placenta in Mulago hospital, Kampala, Uganda. DESIGN A case control study. SETTING Mulago hospital labour wards Study population: Women who delivered in Mulago hospital. PARTICIPANTS Forty five women with severe abruptio placenta (cases) were recruited between 15(th) November 2001 and 30(th) November 2002. They were followed up a...

Materials and methods The weight of fetus, placenta and umbilical cord were measured in 30 (thirty) normal pregnant women and in 17 (seventeen) controlled gestational diabetic pregnant women met in HUSM (University Hospital of Santa Maria). The measurements of weight of fetus were made immediately after the delivery and the macroscopy exam of placenta and umbilical cord were made 24 (twenty fou...

T here are two ways by which a baby can come into this world: vaginally or by Cesarean delivery. Although the developmental paths that result in either vaginal or Cesarean birth a.re highly diverse and very similar at the same time, the actual indication of whether a pregnant woman has to undergo surgery is usually clear. In most cases, Cesarean deliveries are performed for obstetric, fetal, or...