Expectant management of placenta accreta after a mid-trimester pregnancy loss: a case report and a short review

被引：1

作者：

Fumagalli, Diletta ^{[2
]}

Bignardi, Tommaso ^{[1
]}

Vanzulli, Angelo ^{[3
]}

Corbella, Paola Francesca ^{[1
]}

Meroni, Mario Giuseppe ^{[1
]}

Interdonato, Maria Lieta ^{[1
]}

机构：

[1] Osped Niguarda Ca Granda, Dept Obstet & Gynaecol, Piazza Osped Maggiore 3, I-20162 Milan, Italy

[2] Univ Milano Bicocca, Dept Sch Med & Surg, Obstet & Gynecol Branch, Milan, Italy

[3] Osped Niguarda Ca Granda, Dept Diagnost & Intervent Radiol, Milan, Italy

来源：

CASE REPORTS IN PERINATAL MEDICINE | 2022年 / 11卷 / 01期

关键词：

expectant management; mid-trimester; placenta accreta; placenta accreta spectrum; FIGO CONSENSUS GUIDELINES; CONSERVATIVE TREATMENT; SPECTRUM; RISK; SOCIETY;

D O I：

10.1515/crpm-2021-0008

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objectives: Placenta accreta spectrum (PAS) disorders are a significant cause of maternal morbidity and mortality. Traditionally women with PAS are offered surgery, while expectant management is still considered investigational. Case presentation: We present a case of expectant management of PAS after pregnancy loss at 19-weeks. PAS was suspected at sonography and confirmed by MRI. Patient was offered expectant management to preserve fertility. This consisted of leaving the placenta in situ, followed by in- and out-patient clinical and sonographic examinations and blood tests. After five weeks placental detachment occurred without major complications. Conclusions: Our report suggests that expectant management could be a safe option in selected cases of PAS after mid-trimester pregnancy loss. We recommend expectant management should be offered in referral centers for PAS.

引用

页数：7

共 20 条

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