Abstract
IntroductionOne of the ensuing complications of placenta accreta includes loss of fertility.Case presentationAn Asian origin Indian national patient with history of placenta accreta at the time of previous delivery and had conservative management with injection methotrexate after the failure of surgical intervention, conceives again and has uneventful antenatal period and parturition.ConclusionConservative strategy of leaving the excessively adherent placenta in-situ alongwith adjuvant therapy in the form of injection methotrexate, not only prevents dreadful complications but also retains fertility in haemodynamically stable patients desirous of future pregnancy.
Highlights
One of the ensuing complications of placenta accreta includes loss of fertility.Case presentation: An Asian origin Indian national patient with history of placenta accreta at the time of previous delivery and had conservative management with injection methotrexate after the failure of surgical intervention, conceives again and has uneventful antenatal period and parturition
One of the potentially catastrophic obstetric complications, Placenta accreta is alarmingly on the rise, with high maternal morbidity and mortality rate being as high as 7% [1]
Present pregnancy happened after 8 months of the above mentioned previous eventful post-natal period. In her regular antenatal visits, Ultrasonography and colour Doppler were conducted at frequent intervals to rule out any evidence of recurrent Placenta accreta
Summary
Conservative strategy of leaving adherent placenta in-situ with adjuvant methotrexate deserves consideration in selected patients of placenta accreta who are haemodynamically stable and with no active bleeding, especially in those category where retention of fertility is required. Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal
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