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- W2328844057 abstract "Abstract Abnormal placentation is a significant source of maternal morbidity and mortality with increasing incidence due to rising rates of cesarean delivery. While traditionally managed with cesarean-hysterectomy, other management strategies are available. We report a case of a G4P2 woman with two prior cesarean deliveries, who presented at 21 weeks and was diagnosed with an extensive placenta percreta. She expressed a desire for pregnancy termination. Given extensive intra-abdominal placental invasion, intrauterine fetal demise was induced with fetal intracardiac potassium chloride, systemic methotrexate was administered, and the pregnancy was managed conservatively with the demised fetus in situ . Resolution of placental tissue occurred over 4 months. Chorioamnionitis developed at the equivalent of 41 weeks’ gestational age, and she underwent a successful gravid hysterectomy. Antepartum management with induced fetal demise and delayed hysterectomy can be considered in extreme cases of previable invasive placenta percreta." @default.
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- W2328844057 date "2016-03-01" @default.
- W2328844057 modified "2023-09-25" @default.
- W2328844057 title "Management of extensive placenta percreta with induced fetal demise and delayed hysterectomy" @default.
- W2328844057 cites W2038841924 @default.
- W2328844057 doi "https://doi.org/10.1515/crpm-2015-0043" @default.
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