Placenta accreta – case report


Authors: L. Krajíčková
Authors‘ workplace: Gynekologicko-porodnické oddělení, Oblastní nemocnice Kolín, primář MUDr. A. Toman, MBA
Published in: Ceska Gynekol 2015; 80(1): 80-82

Overview

Objective:
To draw attention to the issue of placenta accreta, which is nowadays one of the main indications for a postpartum hysterectomy.

Design:
Case report.

Setting:
Department of Obstetrics and Gynecology, Hospital Kolín.

Case report:
We report a case of a patient that needed a hysterectomy after the elective cesarean section because of placenta accreta and risk of a life-threatening bleeding.

Conclusion:
Placenta accreta is a life-threatening diagnosis, which is due to the growing number of caesarea sections becoming a serious perinatal problem. For most patients, the method of choice is elective cesarean section followed by hysterectomy. For women who wish to preserve fertility, a conservative procedure may be considered.

Keywords:
placenta accreta, ultrasonography, postpartal hysterectomy, conservative treatment


Sources

1. Allahdin, S., Voight, S. Managment of placenta praevia and accreta. Obstet Gynecol, 2011, 31(1), p. 1–6.

2. Charleen Sze-yan Cheung, Ben Chong-pun Chan. The sonographic apperance and obstetric management of placenta accreta. Intern J Women´s Health, 2012(4), p. 587–594.

3. D´Antonio, F., Iacovella, C., Bhide, A. Prenatal identification of invasive placentation using ultrosound:systematic review and meta-analysis. Ultrasound Obstet Gynecol, 2013, 42, p. 509–517.

4. Doumouchtsis, SK., Arulkumaran, S. The morbidly adherent placenta: an overview of management options. Acta Obstet Gynecol Scand, 2010, 89(9), p. 1126–1133.

5. Jacques, SM., et al. Placenta accreta:mild cases diagnosed by placental examination. Int J Gynecol Pathol, 1996, 15(1), p. 28–33.

6. Kayem, G., et al. Conservative versus extirpative management in cases of placenta accreta. Obstet Gynecol, 2004, 104(3), p. 531–536.

7. Sentilhes, L., Kayem, G., Ambrosselli, C., et al. Fertility and pregnancy outcomes following conservative treatment for placenta accreta. Hum Reprod, 2010, 25, p. 2803–2810.

8. Silver, RM., Landon, MB., Rouse, DJ., et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol, 2006, 107, p. 1226–1232.

9. Solheim, KN., Esakoff, TF., Little, SE., et al. The effect of cesarean delivery rates on the future incidence of placenta previa, placenta accreta, and maternal mortality. J Matern Fetal Neonatal Med, 2011, 24(11), p. 1341–1346.

10. Spong, CY., Mercer, BM., D‘alton, M., et al. Timing of indicated late-preterm and early term birth. Obstet Gynecol, 2011, 118, p. 323–333.

11. Steins Bisschop, CN., Schaap, TP., Vogelvang, TE. Invasive placentation and uterus preserving treatment modalities: a systematic review. Arch Gynecol Obstet, 2011, 284(2), p. 491–502.

12. Verner, M., Krofta, L., Feyereisl, J. Placenta accreta – diagnostika a terapie. Postgraduální medicína, 2014, 5.

13. Welsh, AW., Ellwood, D., Carter, J., et al. Opinion: integration of diagnostic and management perspectives for placenta accreta. Obstet Gynecol, 2009, 49(6), p. 578–587.

14. Wu, S., Kocherginsky, M., Hibbard, JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol, 2005, 192 (5), p. 1458–1461.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 1

2015 Issue 1

Most read in this issue
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account