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Placenta Percreta in First Trimester after Multiple Rounds of Failed Medical Management for a Missed Abortion
Joint Authors
Shah, Jaimin
Matta, Eduardo
Acosta, Fernando
Golardi, Natalia
Wallace-Huff, Cristina
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
The detection of a morbidly adherent placenta (MAP) in the first trimester is rare.
Risk factors such as multiparity, advanced maternal age, prior cesarean delivery, prior myomectomy, placenta previa, or previous uterine evacuation place patients at a higher risk for having abnormal placental implantation.
If these patients have a first trimester missed abortion and fail medical management, it is important that providers have a heightened suspicion for a MAP.
Case.
A 24-year-old G4P3003 with 3 prior cesarean deliveries underwent multiple rounds of failed medical management for a missed abortion.
She had a dilation and curettage that was complicated by a significant hemorrhage and ultimately required an urgent hysterectomy.
Conclusion.
When patients fail medical management for a missed abortion, providers need to assess the patient’s risk factors for a MAP.
If risk factors are present, a series of specific evaluations should be triggered to rule out a MAP and help further guide management.
Early diagnosis of a MAP allows providers to coordinate a multidisciplinary treatment approach and thoroughly counsel patients.
Ensuring adequate resources and personnel at a tertiary hospital is essential to provide the highest quality of care and improve outcomes.
American Psychological Association (APA)
Shah, Jaimin& Matta, Eduardo& Acosta, Fernando& Golardi, Natalia& Wallace-Huff, Cristina. 2017. Placenta Percreta in First Trimester after Multiple Rounds of Failed Medical Management for a Missed Abortion. Case Reports in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1147435
Modern Language Association (MLA)
Shah, Jaimin…[et al.]. Placenta Percreta in First Trimester after Multiple Rounds of Failed Medical Management for a Missed Abortion. Case Reports in Obstetrics and Gynecology No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1147435
American Medical Association (AMA)
Shah, Jaimin& Matta, Eduardo& Acosta, Fernando& Golardi, Natalia& Wallace-Huff, Cristina. Placenta Percreta in First Trimester after Multiple Rounds of Failed Medical Management for a Missed Abortion. Case Reports in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1147435
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147435