Publication: Placenta accreta
Date
2009
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Total placenta accreta is a rare condition. Its management is a dilemma. Attempted separation of the placenta in placenta
accreta can cause torrential blood loss. Therefore an antenatal diagnosis of placenta accreta permits advance planning
of delivery. Two alternatives are caesarean section through the fundus with subsequent immediate hysterectomy, which
has traditionally been the treatment of choice or if the patient wishes more children, leaving the placenta in place and
managing conservatively1. We present a 38 year old lady who was diagnosed to have placenta accreta while performing
a caesarean section for a breech presentation. We had to proceed with a total hysterectomy.
Description
Nizami DJ1, Awasthi RT 2, Dash S 1, Verghese J3
1Assistant Professor, 2Professor, 3Tutor, Department of Obstetrics and Gyanaecology, Manipal College of Medical Science, Pokhara, Nepal