Scheduled hysterectomy for second-trimester abortion in a patient with placenta accreta.

Abstract:

BACKGROUND:As cesarean deliveries increase, so does placenta accreta. There is little evidence regarding management of patients with known or suspected abnormal placentation seeking abortion. CASE:A medically complicated patient with evidence of placenta increta on magnetic resonance imaging presented for pregnancy termination at 15 weeks of gestation. Scheduled hysterectomy was performed to avoid hemorrhage and subsequent complications. The patient did well postoperatively; her course was complicated only by a wound infection treated as an outpatient. Pathology was consistent with placenta increta. CONCLUSION:Placenta accreta has increased 13-fold in the past 30 years. In select patients with evidence of abnormal placentation, scheduled hysterectomy for termination of pregnancy is an option that may be considered.

journal_name

Obstet Gynecol

authors

Tocce K,Thomas VW,Teal S

doi

10.1097/AOG.0b013e318194258c

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

568-570

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

00006250-200902001-00037

journal_volume

113

pub_type

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