Morbidly adherent placenta at extreme prematurity: can major haemorrhage and hysterectomy be prevented?

Shafiee MN, and Lim PS, and Rahana AR, and Nor Azlin MI, and Wan Faraliza ZA, and Isa MR, and Mohd Hashim O, (2011) Morbidly adherent placenta at extreme prematurity: can major haemorrhage and hysterectomy be prevented? Journal of Surgical Academia, 1 (1). pp. 62-66. ISSN 2231-7481

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Abstract

Morbidly adherent placenta with spontaneous rupture of membrane at extreme prematurity poses poor pregnancy outcome. Various issues on different management modalities still remain perplexed and individual consideration is vital. Two cases of morbidly adherent placenta with symptomatic per vaginal bleeding and spontaneous rupture of membrane at severe prematurity were reviewed and discussed. We found that, active intervention by termination of pregnancy and methotrexate therapy at early gestation can prevent the need of hysterectomy following major obstetrics haemorrhage.

Item Type:Article
Keywords:Hysterectomy; methotrexate; morbidly adherent placenta; placenta accreta; termination; pregnancy
Journal:Journal of Surgical Academia
ID Code:930
Deposited By: Ms Arzian
Deposited On:18 Apr 2011 01:09
Last Modified:14 Dec 2016 06:28

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