Report of Saving a Mother's Life from Fatal Placenta Previa Percreta Download PDF

Introduction:: Postpartum hemorrhage is the most common cause of post partum hysterectomy, which is especially caused by abnormal placental attachment and marks one of the most tragic events in midwifery. With the unbridled hike in the number of cesareans, complications such as abnormal placental attachment and ectopic pregnancy in the caesarean scar can pose tremendous dangers. Case study The subject was a 34 years-old woman with a history of previous caesarean and abortion. Cesarean was performed through classical incision and the infant was delivered healthy. Since the uterus was filled with varicose veins in lower segment in the anterior and posterior zone, laparotomy with midline incision was performed above the navel. hysterectomy was started and the patient's right ovary was preserved, but the left ovary was removed. Discussion In the present study, there was a history of caesarean. Sonography is the most common radiological method utilized for detection of abnormal placental attachment. In the present patient, since the placenta was both posterior and low lying, due to high probability of abnormal placental attachment, more accurate diagnostic interventions before delivery such as vaginal sonography and Doppler were implemented. Conclusion The only thing that can save the life of a patient in case of abnormal placental attachment is preparation. The pregnancy age for this operation should be lower approximately in week 34. This requires an experienced team and an equipped center.