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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2014; 01(04): 181-185
DOI: 10.1007/s40556-015-0030-6
Brief Communication

Save the Uterus

Ashutosh Gupta
1   Department of Fetal Medicine & Clinical Genetics, Max Super Speciality Hospital, West Block, 1 Press Enclave Road, 110017, Saket, New Delhi, India
,
Anjila Aneja
2   Department of Minimal Access & OBGYN, Fortis Memorial Research Institute, Gurgaon, Haryana, India
,
Neena Bahl
2   Department of Minimal Access & OBGYN, Fortis Memorial Research Institute, Gurgaon, Haryana, India
,
Manavita Mahajan
3   Department of OBGYN, Fortis Memorial Research Institute, Gurgaon, Haryana, India
,
Sanjay Mehta
4   Department of Radiology, Artemis Health Institute, Gurgaon, Haryana, India
,
Pankaj Saini
4   Department of Radiology, Artemis Health Institute, Gurgaon, Haryana, India
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Abstract

With ever increasing rates of cesarean section, the incidence of placenta accreta has multiplied manifold and is bound to increase even further. Appropriate management of placenta accreta is multidisciplinary requiring planning beforehand and has backup strategies for any unanticipated complications. Suspecting and establishing the diagnosis of accreta changes the course of management from a major emergency operative endeavor to expectant therapy. Identifying placenta accreta in pregnancy raises a red flag for life-threatening complications at the time of delivery as diagnosing accreta in the third stage of labor can be catastrophic and might require multiple blood transfusions, ureteral injuries, cystotomy, and infectious complications with emergency cesarean hysterectomy. Expectant management with methotrexate helps in tiding over the life-threatening complications and preventing hysterectomy, thus, SAVING the uterus.

Keywords

Placenta accreta - Multidisciplinary - Emergency hysterectomy - Conservative - Methotrexate


Publication History

Received: 17 December 2014

Accepted: 17 March 2015

Article published online:
08 May 2023

© 2015. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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