A Case Report of Emergency Obstetric Hysterectomy after Conservative Management of Placenta Accreta

Download Article

DOI: 10.21522/TIJPH.2013.12.04.Art026

Authors : Elakkiya S, Kavita Sharma, Shanthy P, Kavitha Washington

Abstract:

Obstetric hemorrhage is a significant and potentially life-threatening complication associated with both vaginal and cesarean deliveries. One common etiology is placenta accreta, a condition characterized by the abnormal adherence of the placenta to the myometrium. The primary modality for diagnosing placenta accreta is ultrasonography, although magnetic resonance imaging (MRI) is often employed to assess the extent of placental invasion. Managing placenta accreta requires a multidisciplinary healthcare team due to its complexity and associated risks. While hysterectomy is frequently the treatment of choice, conservative management approaches may be considered in carefully selected cases.

References:

[1].   Wormer, C., Jamil, R. T. and Bryant, S. B., 2021, Jul 26 “Acute postpartum hemorrhage,” in StatPearls, StatPearls Publishing, Treasure Island, FL. National Institutes of Health (NIH) (.gov) www.ncbi.nlm.nih.gov

[2].   Sebghati, M. and Chandraharan, E. “2017, An update on the risk factors for and management of obstetric haemorrhage,” Womens Health, vol. 13, no. 2, pp. 34–40. National Institutes of Health (NIH) (.gov) https://pubmed.ncbi.nlm.nih.gov

[3].   Jauniaux, E., Collins, S. and Burton, G. J. 2018, “Placenta accreta Spectrum: pathophysiology and evidence-based anatomy for Prenatal ultrasound imaging,” American Journal of Obstetrics and Gynecology, vol. 218, no. 1, pp. 75–87. National Institutes of Health (NIH) (.gov) https://pubmed.ncbi.nlm.nih.gov

[4].    Tan, C. H., Tay, K. H., Sheah, K., et al. 2007, “Perioperative endovascular internal iliac artery occlusion balloon pl okacement in management of placenta accreta,” American Journal of Roentgenology, vol. 189, no. 5, pp. 1158–1163. National Institutes of Health (NIH) (.gov) https://pubmed.ncbi.nlm.nih.gov

[5].   Bowman, Z. S., Eller, A. G., Bardsley, T. R., Greene, T., Varner, M. W. and Silver, R. M., 21“Risk factors for placenta accreta: A Large prospective cohort,” American Journal of Perinatology, Vol. 31, no. 9, pp. 799–804. https://pubmed.ncbi.nlm.nih.gov/243

[6].   Belfort, M. A., 2014, “Placenta accreta,” American Journal of Obstetrics and Gynecology, vol. 203, no. 5, pp. 430–439. National Institutes of Health (NIH) (.gov)https://pubmed.ncbi.nlm.nih.gov Placenta accreta

[7].   Morlando, M. and Collins, S. 2020, “Placenta accreta spectrum disorders: challenges, risks, and management strategies,” International Journal of Women’s Health, vol. 12, pp. 1033–1045

[8].   Salmanian, B., Fox, K. A., Arian, S. E., et al., 2020, “In vitro fertilization as an independent risk factor for placenta accreta spectrum,” American Journal of Obstetrics and Gynecology, vol. 223, No. 4, pp. 568.e1–568.e5.

[9].   Tsuji, M., Shibata, E., Askew, J., et al., 2019, “Associations between Metal concentrations in whole blood and placenta previa and Placenta accreta: the Japan Environment and Children’s Study (JECS),” Environmental Health and Preventive Medicine, Vol. 24, no. 1, p. 40.

[10].  Engelbrechtsen, L., Langhoff-Roos, J., Kjer, J. and Istre, O., 2015, Placenta accreta: adherent placenta due to Asherman syndrome,” Clinical Case Reports, vol. 3, no. 3, pp. 175–178.

[11].  Dasari, P,2011, “Placenta accreta associated with submucosal fibroid Polyp,” BML Case Reports, vol. 2011, p. bcr1020103430, Published 2011 Feb 8.

[12].  Shepherd, A. M., and Mahdy, H., 2022, “Placenta Accreta,” in StatPearls, StatPearls Publishing, Treasure Island, FL.

[13].  Silver, R. M, Landon, M. B., Rouse, D., J., et al., 2006, “Maternal morbidity associated with multiple repeat cesarean deliveries,” Obstetrics and Gynecology, vol. 107, no. 6, pp. 1226–1232.

[14].  Shamshirsaz, A. A., Fox, K. A. S., almanian, B., et al.,2015, “Maternal Morbidity in patients with morbidly adherent placenta treated With and without a standardized multidisciplinary approach,” American Journal of Obstetrics and Gynecology, vol. 212, no. 2, pp. 218.e1–218.e9.

[15].  Xia, H., Ke, S. C., Qian, R., Lin, J. G., Li, Y. and Zhang, X., 2020,” Comparison between abdominal ultrasound and nuclear Magnetic resonance imaging detection of placenta accreta in the second and third trimester of pregnancy,” Medicine, Vol. 99, no. 2, p. e17908.

[16].  Comstock, C. H. and Bronsteen R, A., 2014, “The antenatal diagnosis Of placenta accreta,” BJOG: An International Journal of Obstetrics and Gynaecology, vol. 121, no. 2, pp. 171–182.

[17].  American College of Obstetricians and Gynecologists 2018 “Obstetric care consensus no. 7: placenta cccreta spectrum,” Obstetrics and Gynecology, vol. 132, no. 6, pp. e259–e275.

[18].  Gulino, F. A., Guardo, F. D., Zambrotta, E., et al., 2018, “Placenta Accreta and balloon catheterization: the experience of a single Center and an update of latest evidence of literature,” Archives of Gynecology and Obstetrics, vol. 298, no. 1, pp. 83–88.

[19].  Shahin, Y. and Pang, C. L. 2018, “Endovascular interventional Modalities for haemorrhage control in abnormal placental Implantation deliveries: a systematic review and meta-analysis,” European Radiology, vol. 28, no. 7, pp. 2713–2726.

[20].  Cali, G., Forlani, F., Giambanco, L., et al., 2014, “Prophylactic use of Intravascular balloon catheters in women with placenta Accreta, increta and percreta,” European Journal of Obstetrics,Gynecology, and Reproductive Biology, vol. 179, pp. 36–41

[21].  Gulino, F. A., Ettore, C. Ettore, G., 2021, “A review on management of caesarean scar pregnancy,” Current Opinion in Obstetrics & Gynecology, vol. 33, no. 5, pp. 400–404.

[22].  Pala, S., Atilgan, R., Başpınar, M., et al., 2018, “Comparison of results of Bakri balloon tamponade and caesarean hysterectomy in Management of placenta accreta and increta: a retrospective Study,” Journal of Obstetrics and Gynaecology, vol. 38, no. 2, pp. 194–199.

[23].  Morgan, E. A., Sidebottom, A., Vacquier, M., Wunderlich, W. and Loichinger, M., “The effect of placental location in casesOf placenta accreta spectrum,” American Journal of Obstetrics and Gynecology, vol. 221, no. 4, pp. 357.e1–357.e5.

[24].  Piñas Carrillo, A. and Chandraharan, E., 2019, “Placenta accreta spectrum: risk factors, diagnosis and management with special reference to the triple P procedure,” Womens Health, vol. 15, p. 174550651987808.

[25].  Shahid, R., Abbas, H., Mumtaz, S., et al., 2020, “Emergency obstetric Hysterectomy, the histopathological perspective: a crosssectional study from a tertiary care hospital,” Cureus, vol. 12, No. 7, p. e9094.

[26].  Ngwenya, S., 2016, “Postpartum hemorrhage: incidence, risk factors, And outcomes in a low-resource setting,” Journal of Women’s Health, vol. Volume 8, pp. 647–650.