Published: 2017-11-23

Diagnosis of placenta accreta with postpartum hemorrhage in the case of pregnancy termination

Hale Goksever Celik, Gokce Turan, Ismail Ozdemir


The placenta normally attaches to the uterine wall, however there is a condition that occurs where the placenta attaches itself too deeply into the uterine wall. This condition is known as placenta accreta, increta or percreta depending on the deepness of the placenta attachment. This study aimed to present the patient who induced with prostoglandin E2 (misoprostol) for 22 weeks intrauterine mort fetus and then hysterectomized because of atony and placenta accreta


Placenta accreta, Postpartum hemorrhage, Pregnancy termination

Full Text:



Tantbirojn P, Crum CP, Parast MM. Pathophysiology of placenta creta: the role of decidua and extravillous trophoblast. Placenta. 2008 Jul;29(7):639-45.

Gielchinsky Y, Rojansky N, Fasouliotis ST, Ezra Y. Placenta accreta--summary of 10 years: a survey of 310 cases. Placenta. 2002 Feb-Mar;23(2-3):210-4.

Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol. 2005 May;192(5):1458-61.

Teo SB, Kanagalingam D, Tan HK, Tan LK. Massive postpartum hemorrhage after uterus-conserving surgery in placenta percreta: the danger of the partial placenta percreta. BJOG. 2008 May;115(6):789-92.

Ercan F, Kılıc F, Sayal HB, Ustun D, Acar A. Successful treatment of acute late postpartum hemorrhage due to placenta accreta by acar method compression suture; case report. Jinek-Obstet Neonat Tıp Derg. 2016:21-4.

Usluogullari B, Hizli D. Uterine Rupture, Placenta Previa and Acreata Associated with Successful Bacterial Balloon Catheter Application. Mustafa Kemal Univ Tıp Derg. 2015;6(24):58-61.

O'brien JM, Barton JR, Donaldson ES. The management of placenta percreta: conservative and operative strategies. Am J Obstet Gynecol. 1996 Dec; 175(6):1632-8.

Atasever M, Ozer A, Cim N, Aker SS. Uterine ruptures detected in second trimester: case series. Jinek-Obstet Neonat Tıp Derg. 2017;14(1):39-41.

Jauniaux E, Bhide A. Prenatal ultrasound diagnosis and outcome of placenta previa accreta after cesarean delivery: a systematic review and meta-analysis. Am J Obstet Gynecol. 2017 Jul;217(1):27-36.