title: Lower uterine segment pregnancy with placenta increta complicating first trimester induced abortion: diagnosis and conservative management.
abstract: OBJECTIVE
  To discuss the diagnosis of and conservative management for lower uterine segment pregnancy with placenta increta complicating first trimester abortion.
  
  
  METHODS
  Four patients with previous caesarean section and severe hemorrhage in induced abortion in the first trimester were studied. Uterine artery embolization (UAE) was used to control bleeding and preserve the uterus.
  
  
  RESULTS
  UAE controlled heavy uterine bleeding satisfactorily. One of the four patients asked for a hysterectomy after UAE, and her pathology report confirmed "lower uterine segment pregnancy with placenta increta".
  
  
  CONCLUSIONS
  Previous caesarean section is a risk factor for lower uterine segment pregnancy with placenta increta. UAE is one of the best conservative management methods for heavy hemorrhage, especially for women who desire future fertility.
authors.affiliation: Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China. menglxy@hotmail.com.cn
authors.forename: Xinyan
authors.initials: X
authors.lastname: Liu
authors.forename: Guangsheng
authors.initials: G
authors.lastname: Fan
authors.forename: Zhengyu
authors.initials: Z
authors.lastname: Jin
authors.forename: Ning
authors.initials: N
authors.lastname: Yang
authors.forename: Yuxin
authors.initials: Y
authors.lastname: Jiang
authors.forename: Mingying
authors.initials: M
authors.lastname: Gai
authors.forename: Lina
authors.initials: L
authors.lastname: Guo
authors.forename: Youfang
authors.initials: Y
authors.lastname: Wang
authors.forename: Jinghe
authors.initials: J
authors.lastname: Lang
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000175:diagnosis / Q000628:therapy*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy*; D014599:Uterus / Q000473:pathology