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Pregnancy Outcome After Intra-Abdominal Bleeding Due to Placenta Percreta at 14 Weeks of Gestation

Roeters, Annemaaike E. MD1; Oudijk, Martijn A. MD, PhD1; Heydanus, Roger MD, PhD2; Bruinse, Hein W. MD, PhD1

doi: 10.1097/01.AOG.0000254168.73160.21
Case Reports
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BACKGROUND: With the rising rate of cesarean deliveries, the rate of placenta previa and placenta percreta will rise concomitantly resulting in a greater incidence of severe complications.

CASE: This case report describes a pregnancy with a massive intra-abdominal bleeding due to placenta percreta at 14 weeks of gestation. Several management options were discussed, and finally continuation of pregnancy was chosen. No further complications occurred, and in the 35th week, an elective cesarean delivery and hysterectomy were performed. A healthy male newborn of 2,400 g was born.

CONCLUSION: While the outcome of pregnancy was favorable in this case, it does not rule out the possibility of severe complications with this management.

Pregnancy outcome was favorable after a massive intra-abdominal bleeding due to placenta percreta at 14 weeks of gestation.

From the 1Department of Obstetrics, University Medical Center, Utrecht, the Netherlands, and 2Department of Obstetrics and Gynecology, Amphia Hospital, Breda, the Netherlands.

Corresponding author: Hein W. Bruinse, MD, PhD, Department of Obstetrics, University Medical Center Utrecht, KE 04.123.1/P.O. Box 85090, 3508 AB, Utrecht, the Netherlands; e-mail: H.W.Bruinse@umcutrecht.nl.

© 2007 The American College of Obstetricians and Gynecologists