Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise

Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise

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....

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Main Authors: A. MacGibbon, Y. M. Ius
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2018/7478437
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spelling doaj-a5f1d3377cc1445b8cafd2cae2e987d12020-11-25T02:17:16ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/74784377478437Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal DemiseA. MacGibbon0Y. M. Ius1Department of Obstetrics and Gynaecology, John Hunter Hospital. Newcastle, New South Wales, AustraliaDepartment of Obstetrics and Gynaecology, John Hunter Hospital. Newcastle, New South Wales, AustraliaWe 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.http://dx.doi.org/10.1155/2018/7478437
collection DOAJ
language English
format Article
sources DOAJ
author A. MacGibbon
Y. M. Ius
spellingShingle A. MacGibbon
Y. M. Ius
Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise
Case Reports in Obstetrics and Gynecology
author_facet A. MacGibbon
Y. M. Ius
author_sort A. MacGibbon
title Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise
title_short Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise
title_full Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise
title_fullStr Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise
title_full_unstemmed Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise
title_sort conservative management of abnormally invasive placenta previa after midtrimester foetal demise
publisher Hindawi Limited
series Case Reports in Obstetrics and Gynecology
issn 2090-6684
2090-6692
publishDate 2018-01-01
description 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.
url http://dx.doi.org/10.1155/2018/7478437
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AT ymius conservativemanagementofabnormallyinvasiveplacentapreviaaftermidtrimesterfoetaldemise
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