Conservative Management of Placenta Accreta in a Multiparous Woman

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dc.contributor.authorHunt, Jennifer C.
dc.date.accessioned2015-04-01T17:36:24Z
dc.date.available2015-04-01T17:36:24Z
dc.date.issued2010-9-30
dc.date.updated2015-03-29T13:39:45Z
dc.description.abstractPlacenta accreta refers to any abnormally invasive placental implantation. Diagnosis is suspected postpartum with failed delivery of a retained placenta. Massive obstetrical hemorrhage is a known complication, often requiring peripartum hysterectomy. We report a case of presumed placenta accreta in a patient following failed manual removal of a retained placenta. We describe an attempt at conservative management with methotrexate in a stable patient desiring future fertility. Treatment was unsuccessful and led to the development of a disseminated intrauterine infection complicated by a bowel obstruction, requiring both a hysterectomy and small bowel resection. In hemodynamically stable patients, conservative management of placenta accreta may involve leaving placental tissue in situ with subsequent administration of methotrexate. However, ongoing close observation is required to identify complications.
dc.description.versionPeer Reviewed
dc.identifier.citationJennifer C. Hunt, “Conservative Management of Placenta Accreta in a Multiparous Woman,” Journal of Pregnancy, vol. 2010, Article ID 329618, 5 pages, 2010. doi:10.1155/2010/329618
dc.identifier.urihttp://dx.doi.org/10.1155/2010/329618
dc.identifier.urihttp://hdl.handle.net/1993/30330
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderCopyright © 2010 Jennifer C. Hunt. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleConservative Management of Placenta Accreta in a Multiparous Woman
dc.typeJournal Article
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