Abnormal placental invasion-a novel approach to treatment: Case report and review

Ella Ophir, Jonathan Singer-Jordan, Marwan Odeh, Yael Hirch, Olga Maksimovsky, Oleg Shaider, Simon Yvry, Ido Solt, Jacob Bornstein

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

The incidence of abnormal placental invasion has increased 10-fold in the past 50 years, reflecting the increased number of cesarean sections performed. Management relies on accurate early diagnosis with appropriate perioperative multidisciplinary planning to anticipate and avoid massive obstetric hemorrhage at delivery. Women at risk should plan to deliver at an institution with appropriate expertise and resources for managing this condition. We report a case of placenta increta management comprising preoperative placement of a pelvic artery balloon catheter, prophylactic balloon occlusion after delivery of the fetus, and embolization-assisted resection of the invaded uterine wall. We review incidence, methods of prenatal diagnosis, risk factors, and management of abnormally invasive placenta. target audience: Obstetricians & Gynecologists, Family Physicians learning objectives: After completion of this educational activity, the participant should be better able to recall risk factors for abnormal placental invasion, explain the diagnostic choices for identifying abnormal placental invasion, and prepare a logical treatment plan for the woman with abnormal placental invasion.

Original languageEnglish
Pages (from-to)811-822
Number of pages12
JournalObstetrical and Gynecological Survey
Volume64
Issue number12
DOIs
StatePublished - Dec 2009
Externally publishedYes

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