PLACENTA INCRETA – A CASE REPORT
Dr. Poornima M.*, Dr. Rekha G. Daver, Dr. Vilas N. Kurude
ABSTRACT
Placenta increta is a rare and often life-threatening complication of pregnancy. Placenta increta is characterized by partial or complete absence of the decidua basalis. Placenta increta usually presents with vaginal bleeding during difficult placental removal in the third-trimester. Although placenta increta may complicate first and early second-trimester pregnancy loss, the diagnosis can be very difficult during early pregnancy and thus the lesion is difficult to identify. We present here the case of a woman who presented to us in 2nd trimester with history of P/V leaking. Initially the patient was managed conservatively ie with tocolytics and rest. Patient responded to tocolytics but 2 weeks later went into spontaneous labour and delivered extremely low birth weight baby (750 gms). In immediate post partum period patient developed Post partum haemmorhage. Later patient was diagnosed to be having placenta increta and a subtotal hysterectomy was done.
Keywords: Placenta Increta, Second Trimester, Subtotal Hysterectomy.
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