EMERGENCY PERIPARTUM HYSTERECTOMY IN WOMEN WITH PLACENTA ACCRETA SPECTRUM: A CASE SERIES

Author:

Bharathi Shree1,Jha Niveditha2,Rengaraj Sasirekha3,Ranjan Veena4

Affiliation:

1. Senior Resident, Department Of Obstetrics And Gynaecology, Jawaharlal Institute Of Postgraduate Medical Education And Research Puducherry-06, India.

2. Assistant Professor, Department Of Obstetrics And Gynaecology, Jawaharlal Institute Of Postgraduate Medical Education And Research Puducherry-06, India

3. Additional Professor, Department Of Obstetrics And Gynaecology, Jawaharlal Institute Of Postgraduate Medical Education And Research Puducherry-06, India

4. Professor, Department Of Obstetrics And Gynaecology, Jawaharlal Institute Of Postgraduate Medical Education And Research Puducherry-06, India

Abstract

Morbidly adherent placenta(MAP) is a rare albeit signicant cause of massive obstetric hemorrhage. It occurs as a result of failure of normal decidualisation in the area of a previous uterine scar, which leads to abnormally deep inltration of placental chorionic villi. Early radiological diagnosis in the antenatal period ensures time for adequate preparation for its optimal management by peripartum hysterectomy. A good outcome in these patients depends on a collaborative approach between Obstetricians, Urologists, Intervention Radiologists, Anaesthetists, Transfusion physicians and Neonatologists. In this case report, we present three cases of adherent placenta and their management and outcomes, in our tertiary care setting

Publisher

World Wide Journals

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