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. 2011 Spring;11(1):84-8.

Multidisciplinary approach to the management of placenta accreta

Melissa Russo, Elizabeth I Krenz, Stuart R Hart, David Kirsch

Multidisciplinary approach to the management of placenta accreta

Melissa Russo et al. Ochsner J. 2011 Spring.

Abstract

Patients with placenta accreta have abnormally adherent placentas and are at risk for massive hemorrhage at delivery. We report 2 cases of cesarean hysterectomy in patients with placenta accreta. These patients were cared for by a multidisciplinary team consisting of a maternal fetal medicine specialist, gynecologic oncologist, anesthesiologist, neonatologist, interventional radiologist, and urologist. Favorable maternal and fetal outcomes resulted from the use of this team.

Keywords: Cesarean delivery; hemorrhage; hysterectomy; placenta accreta.

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Figures

Figure 1
Figure 1
Magnetic resonance image showing the fetus, placenta previa (P), and 2 areas of possible vascular invasion of the posterior bladder wall (arrows).
Figure 2
Figure 2
Radiograph showing bilateral internal iliac artery catheters (C), bilateral ureteral catheters (U), and the external fetal monitor (E).
See this image and copyright information in PMC

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