Journal of Surgical Academia  2011;1(1):56-60

Morbidly Adherent Placenta at Extreme Prematurity: Can Major Haemorrhage and Hysterectomy be Prevented?

Shafiee MN1 ; Lim PS1 ; Rahana AR1 ; Nor Azlin MI1 ; Wan Faraliza ZA1 ; Isa MR2 ; Mohd Hashim O1

Keywords

Hysterectomy, methotrexate, morbidly adherent placenta, placenta accreta, termination, pregnancy.

Country

Malaysia

Language

English

Abstract

Morbidly adherent placenta with spontaneous rupture of membrane at extreme prematurity poses poor pregnancy outcome. Various issues on different management modalities still remain perplexed and individual consideration is vital. Two cases of morbidly adherent placenta with symptomatic per vaginal bleeding and spontaneous rupture of membrane at severe prematurity were reviewed and discussed. We found that, active intervention by termination of pregnancy and methotrexate therapy at early gestation can prevent the need of hysterectomy following major obstetrics haemorrhage.