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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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/7478437 |
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| author | A. MacGibbon Y. M. Ius |
| author_facet | A. MacGibbon Y. M. Ius |
| author_sort | A. MacGibbon |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-a5f1d3377cc1445b8cafd2cae2e987d1 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-a5f1d3377cc1445b8cafd2cae2e987d12025-08-20T03:38:48ZengWileyCase 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 |
| spellingShingle | A. MacGibbon Y. M. Ius Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise Case Reports in Obstetrics and Gynecology |
| title | 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_short | Conservative Management of Abnormally Invasive Placenta Previa after Midtrimester Foetal Demise |
| title_sort | conservative management of abnormally invasive placenta previa after midtrimester foetal demise |
| url | http://dx.doi.org/10.1155/2018/7478437 |
| work_keys_str_mv | AT amacgibbon conservativemanagementofabnormallyinvasiveplacentapreviaaftermidtrimesterfoetaldemise AT ymius conservativemanagementofabnormallyinvasiveplacentapreviaaftermidtrimesterfoetaldemise |