Placenta accreta in a referred post hysterotomy case: a bold step into the unknown

Authors

  • Shrinivas N. Gadappa Department of Obstetrics and Gynecology, Government Medical College, Aurangabad, Maharashtra, India
  • Rupali A. Gaikwad Department of Obstetrics and Gynecology, Government Medical College, Aurangabad, Maharashtra, India
  • Anurag A. Sonawne Department of Obstetrics and Gynecology, Government Medical College, Aurangabad, Maharashtra, India
  • Ankita R. Shah Department of Obstetrics and Gynecology, Government Medical College, Aurangabad, Maharashtra, India
  • Shrutika O. Makde Department of Obstetrics and Gynecology, Government Medical College, Aurangabad, Maharashtra, India
  • Sowjanya Shivanreddy Bheemareddy Department of Obstetrics and Gynecology, Government Medical College, Aurangabad, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20210338

Keywords:

Placenta accreta, PPH, Uterine tamponade, Massive transfusion protocol

Abstract

Placenta accreta spectrum encompasses a range of pathological adherence of placenta and causes significant maternal and neonatal morbidity and mortality. With the increase in the number of cesarean deliveries over the last few decades, there has been an 8 fold increase in the incidence of placenta accreta. The single most important risk factor reported in about half the cases of PAS disorders is placenta previa. Management involves a standardized approach with a comprehensive multidisciplinary care team accustomed to management of placenta accreta. We discuss a rare case of a patient who underwent hysterotomy in an outside hospital and was referred to our tertiary care centre as atonic PPH. Undiagnosed antenatally and at the time of hysterotomy, she was diagnosed as a case of placenta accreta on exploration at our institute and was surgically managed.

References

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Published

2021-01-28

Issue

Section

Case Reports