scholarly journals Conservative management of abnormally invasive placenta: four case reports

2013 ◽  
Vol 92 (4) ◽  
pp. 468-471 ◽  
Author(s):  
Angela Ramoni ◽  
Eva-Maria Strobl ◽  
Johanna Tiechl ◽  
Magdalena Ritter ◽  
Christian Marth
Keyword(s):  
Conservative Management ◽  
Case Reports ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

scholarly journals Latvian experience in conservative management of abnormally invasive placenta: two case reports

2020 ◽  
Vol 26 (3) ◽  
pp. 153-158
Author(s):  
Diana Bokučava ◽  
Sandra Vītiņa ◽  
Maira Jansone ◽  
Mara Tirāne ◽  
Zane Krastiņa ◽  
...  
Keyword(s):  
Conservative Management ◽  
Case Reports ◽  
Placental Tissue ◽  
University Hospital ◽  
Tertiary Referral Hospital ◽  
Excessive Bleeding ◽  
Section Operation ◽  
Invasive Placenta ◽  
New Treatment

Background. Abnormally invasive placentation (AIP) is a clinical term that describes situation when placenta does not separate spontaneously after delivery and its manual removal causes excessive bleeding (1). Historically, the treatment of choice for this condition is hysterectomy. Lately, the new treatment option, conservative management of the AIP, has proven itself an effective alternative to hysterectomy in carefully selected patients (2). However, the use of conservative AIP management is limited in many countries, the reasoning being the lack of doctors’ experience in this procedure and concerns regarding a high postpartum infection rate. Case reports. We present the first two cases of conservative management of AIP in Latvia. Most of prenatally diagnosed AIP cases country-wide are referred to the Paul Stradinš University Hospital, which is a tertiary referral hospital. The annual rate of AIP in the hospital varies from five to ten cases. Two pregnant women were diagnosed with AIP prenatally, both of them refused hysterectomy and therefore went for the conservative management of AIP. During Caesarean section operation, placentas were left in situ after delivery of the baby. During the follow-up period of 12 and 14 weeks, both women developed infection complications, but complete placental tissue resolution was diagnosed in the end. Conclusion. These two cases demonstrate that conservative management of AIP can be safely applied in small countries/areas with small AIP rate and management experience.

scholarly journals Maternal outcome after conservative management of abnormally invasive placenta

2017 ◽  
Vol 56 (3) ◽  
pp. 353-357 ◽  
Author(s):  
Hsiu-Wei Su ◽  
Yu-Chiao Yi ◽  
Jenn-Jhy Tseng ◽  
Wei-Chih Chen ◽  
Ya-Fang Chen ◽  
...  
Keyword(s):  
Conservative Management ◽  
Maternal Outcome ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

scholarly journals Conservative management of abnormally invasive placenta complicated by local hyperfibrinolysis and beginning disseminated intravascular coagulation

2020 ◽  
Author(s):  
C. Biele ◽  
L. Kaufner ◽  
A. Schwickert ◽  
A. Nonnenmacher ◽  
K. von Weizsäcker ◽  
...  
Keyword(s):  
Blood Loss ◽  
Disseminated Intravascular Coagulation ◽  
Conservative Management ◽  
Maternal Blood ◽  
Oral Dosage ◽  
Clotting Factors ◽  
Intravascular Coagulation ◽  
Pubmed Database ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

Abstract Introduction Abnormally invasive placenta (AIP) is often associated with high maternal morbidity. In surgical treatment, caesarean hysterectomy or partial uterine resection may lead to high perioperative maternal blood loss. A conservative treatment by leaving the placenta in utero after caesarean delivery of the baby is an option to preserve fertility and to reduce peripartum hysterectomy-related morbidity. Nevertheless, due to increased placental coagulation activity as well as consumption of clotting factors, a disseminated intravascular coagulation (DIC)-like state with secondary late postpartum bleeding can occur. Purpose Systematic review after the presentation of a case of conservative management of placenta percreta with secondary partial uterine wall resection due to vaginal bleeding, complicated by local hyperfibrinolysis and consecutive systemic decrease in fibrinogen levels. Methods Systematic PubMed database search was done until August 2019 without any restriction of publication date or journal Results Among 58 publications, a total of 11 reported on DIC-like symptoms in the conservative management of AIP, in the median on day 59 postpartum. In most cases, emergency hysterectomy was performed, which led to an almost immediate normalization of coagulation status but was accompanied with high maternal blood loss. In two cases, fertility-preserving conservative management could be continued after successful medical therapy. Conclusion Based on these results, we suggest routinely monitoring of the coagulation parameters next to signs of infection in the postpartum check-ups during conservative management of AIP. Postpartum tranexamic acid oral dosage should be discussed when fibrinogen levels are decreasing and D-Dimers are increasing.

scholarly journals Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
A. MacGibbon ◽  
Y. M. Ius
Keyword(s):  
Fertility Preservation ◽  
Conservative Management ◽  
Surgical Intervention ◽  
Placenta Previa ◽  
Placenta Increta ◽  
Significant Complication ◽  
Obstetric Haemorrhage ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

We present the case of a midtrimester intrauterine foetal demise (IUFD) in the context of abnormally invasive placentation. This was a grade 4 placenta previa with placenta increta in a patient requesting fertility conservation and was managed conservatively without immediate surgical intervention. The patient spontaneously delivered the fetus after 33 days, followed by a large obstetric haemorrhage requiring immediate laparotomy and hysterotomy. Her uterus was preserved and she went on to recover without further significant complication. While conservative management of morbidly adherent placentas has been well documented, there are no published cases of this strategy in the context of IUFD and fertility preservation.

scholarly journals First‐trimester prediction of surgical outcome in abnormally invasive placenta using the cross‐over sign

2018 ◽  
Vol 51 (2) ◽  
pp. 184-188 ◽  
Author(s):  
G. Calì ◽  
F. Forlani ◽  
G. Minneci ◽  
F. Foti ◽  
S. Di Liberto ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
First Trimester ◽  
Invasive Placenta ◽  
The Cross ◽  
Abnormally Invasive Placenta
Sign in / Sign up

Export Citation Format

Share Document