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Is The Fibroid a Uterus?
Author(s) -
Koong Denise K.,
McKenna K. Mark
Publication year - 1995
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.1995.tb01997.x
Subject(s) - placenta accreta , medicine , cervix , obstetrics , placenta , pregnancy , cervical pregnancy , uterus , gynecology , retained placenta , fetus , ectopic pregnancy , genetics , cancer , biology
EDITORIAL COMMENT: We accepted this case for publication to allow readers to see the point that a morbidly adherent placenta in the cervix and/or lower uterine segment can lead to catastrophic haemorrhage whether the fetus is above the abnormally implanted placenta (most cases of placenta accreta, increta orpercreta) or below it (most cases of cervical pregnancy which can also be associated with placenta accreta, increta orpercreta). The moral of the story seems to be that conservative treatment with methotrexate or balloon tamponade requires diagnosis before damage to the cervix or lower uterine segment occurs due to attempted or actual removal of the placenta. However there are reports of cases of cervical pregnancy where very considerable haemorrhage was quickly controlled by a large Foley catheter or Sengstaken‐Blakemore tube, usually when the placenta had been removed.