Placenta increta; conservative management -- a successful outcome. Case report and literature review.
Placenta increta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. We report a case of conservative management, with a combination of parenteral methotrexate, serial ultrasound and Doppler assessment, followed by interval manual removal of placenta.
Royal Jubilee Maternity Unit, Royal Victoria Hospital, Belfast, Northern Ireland, UK.
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Adair
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Elamin
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Tharmaratnam
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis; D001329:Autolysis; D002444:Cefuroxime / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000188:drug therapy*; D049590:Postpartum Period; D011247:Pregnancy; D016896:Treatment Outcome; D014599:Uterus / Q000187:drug effects
D000900:Anti-Bacterial Agents; D002444:Cefuroxime