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Placenta Praevia Accreta
Author(s) -
Fahmy Kamal
Publication year - 1970
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1970.tb00405.x
Subject(s) - medicine , placenta accreta , obstetrics , placenta , hysterectomy , internal iliac artery , uterus , perforation , uterine perforation , caesarean section , ligation , uterine rupture , pregnancy , surgery , fetus , research methodology , biology , family planning , population , genetics , materials science , environmental health , metallurgy , punching
Summary Five cases of placenta praevia accreta are reported. One patient was managed by total hysterectomy, and the other 4 by conservative measures. These cases bring the number reported to 100. The accretic process in placenta praevia was mainly the result of deficient decidual reaction in the lower segment; another common predisposing factor is the presence of a previous Caesarean section scar. Placenta praevia accreta may be associated with primary or secondary haemorrhage, uterine perforation or rupture, acute hypofibrinogenaemia, and intra‐uterine infection. The best treatment is total hysterectomy as this results in the lowest maternal mortality. However, the uterus might be conserved in some cases by the use of packing, and uterine and/or internal iliac artery ligation.