Preterm birth due to cervical insufficiency complicated by placenta accreta and postpartum haemorrhage managed by uterine artery embolisation

Authors

  • Elina Tetere Department of Obstetrics & Gynaecology, Riga Stradins University, Riga, Latvia
  • Anna Jekabsone Department of Obstetrics & Gynaecology, Riga Stradins University, Riga, Latvia
  • Ieva Kalere Department of Obstetrics & Gynaecology, Riga Stradins University, Riga, Latvia
  • Dace Matule Department of Gynaecology, ARS Medical Company, Riga, Latvia

Keywords:

Preterm birth, Cervical cerclage, Placenta accreta, Uterine artery embolization

Abstract

In this report, we present the case of a young woman undergoing her second pregnancy, with early detected shortened cervix resulting in cervical cerclage procedure. At gestational week 24/25, she presented at a hospital with signs of intra-amniotic infection and spontaneous rupture of membranes. This resulted in pathological preterm delivery with massive postpartum bleeding, which was managed by bilateral uterine artery embolization. Reasons for preterm birth and management options are discussed.

References

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Published

2017-01-04