Conservative management of morbidly adherant placenta - a case report and review of literature.
Placenta accreta is a condition when the placenta is abnormally adherent to the uterus. This can result in complications like severe haemorrhage, injuries to pelvic organs, possible need for Caesarian hysterectomy. There is always high risk of maternal morbidity and mortality. Over the last decade there has been gradual shift towards conservative management of placenta accreta involving uterine and placental conservation, with the main aim to reduce pelvic injury and to achieve haemostasis with the aid of intervention radiology by means of Uterine Artery embolisation and use of medical chemotherapeutic agents like Methotrexate. This strategy has previously been shown to reduce morbidity and mortality in carefully selected cases of Placenta accreta. We have successfully managed a case of Placenta percreta conservatively using Uterine Artery embolisation followed by Injection methotrexate.
Maulana Azad Medical College and Lok Nayak Hospital, India. Electronic address: muntaha016@yahoo.co.in.
Muntaha
M
Khan
P
P
Sachdeva
R
R
Arora
S
S
Bhasin
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage*; D010921:Placenta Accreta / Q000601:surgery / Q000628:therapy*; D006473:Postpartum Hemorrhage / Q000517:prevention & control; D011247:Pregnancy; D055357:Uterine Artery Embolization
D018997:Chorionic Gonadotropin, beta Subunit, Human; D008727:Methotrexate
Conservative management; Methotrexate; Placenta accreta; Placenta percreta; Placenta previa; Uterine artery embolization