title: Massive obstetric hemorrhage due to placenta previa/accreta with prior cesarean section.
abstract: There is a high association between anterior placenta previa, placenta accreta and previous cesarean section. We report three cases which illustrate the particular danger of massive hemorrhage posed by placenta previa/accreta in a scarred uterus. As the incidence of cesarean section continues to rise worldwide, the problem of placenta previa/accreta is likely to become more common. We emphasize the need for each obstetric unit to have a protocol for dealing with massive hemorrhage.
authors.affiliation: Department of Obstetrics and Gynaecology, St. George's Hospital, Medical School, London, UK.
authors.forename: I T
authors.initials: IT
authors.lastname: Manyonda
authors.forename: T R
authors.initials: TR
authors.lastname: Varma
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000150:complications*; D010923:Placenta Previa / Q000150:complications*; D006473:Postpartum Hemorrhage / Q000209:etiology*; D011247:Pregnancy