IMR Press / CEOG / Volume 45 / Issue 2 / DOI: 10.12891/ceog3815.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Two cases of placenta accreta with conservative management
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1 Department of the Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, Fukushima, Japan
Clin. Exp. Obstet. Gynecol. 2018, 45(2), 283–286;
Published: 10 April 2018

Placenta accreta is an important obstetric complication which can lead to life-threatening postpartum hemorrhage. The mortality rate has been reported to be high in developing countries. The authors report two cases of patients who were successfully treated with conservative management. Case 1: A 36-year-old woman was diagnosed as having placenta accreta following vaginal delivery. The patient was hemodynamically stable and was given conservative management. On the 74th day postpartum, the retained placenta was naturally delivered without significant hemorrhage. Case 2: A 38-year-old woman was referred to the authors’ tertiary clinic for advanced management of an entirely retained placenta. The patient was hemodynamically stable and opted to preserve the uterus. Conservative management was selected as the course of action. On the 95th day postpartum, the retained placenta with necrosis was naturally delivered without complication. Neither case used methotrexate (MTX) or blood product.
Placenta accreta
Conservative management
Postpartum hemorrhage
Half-life of serum hCG
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