Abstract
Placenta accreta, one of the morbidly adherent placenta components and currently known as placenta accreta spectrum (PAS), is a condition characterized by abnormal adherence of the placenta to the uterine wall. This can lead to significant blood loss and may lead to high morbidity and mortality rates for the mother. It is a failure of placenta separation during the third stage of labor, which is thought to be high prevalence in those with previous cesarean delivery, especially with the presence of placenta previa. However, PAS is possible in cases of a normally-situated placenta without previous cesarean delivery. We reported an interesting case of a 41-year-old woman, gravida 8 para 7, admitted to the labor room for augmentation of labor, who needed emergency lower segment cesarean section. The incidental finding of PAS was made intraoperatively and was complicated with a hysterectomy. PAS in a normally situated placenta (upper segment) in a virgin abdomen that has been discovered during emergency lower segment cesarean section could cause a nightmare to the obstetrician as it leads to massive postpartum hemorrhage, ureteric injury, and high maternal morbidity and mortality.
Keywords
Publication details
- DOI
- 10.5001/omj.2024.12
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Hakimi, H. M. H., Ramli, N., Napes, M. M., Wahab, W. N. N., & Rohim, R. A. A. (2024). Placenta Accreta Spectrum in Normal Situated Placenta and Unscarred Uterus. Oman Medical Journal. https://doi.org/10.5001/omj.2024.12
MLA 9
Hakimi, Harun M. H., et al. "Placenta Accreta Spectrum in Normal Situated Placenta and Unscarred Uterus." Oman Medical Journal, 2024. https://doi.org/10.5001/omj.2024.12.
Chicago (author–date)
Hakimi, Harun M. H., Nadia Ramli, Malini Mat Napes, Wan N. N. Wahab, and Rabiatul Adawiyah Abdul Rohim. 2024. "Placenta Accreta Spectrum in Normal Situated Placenta and Unscarred Uterus." Oman Medical Journal. https://doi.org/10.5001/omj.2024.12.
Harvard
Hakimi, H. M. H., Ramli, N., Napes, M. M., Wahab, W. N. N. and Rohim, R. A. A. (2024) 'Placenta Accreta Spectrum in Normal Situated Placenta and Unscarred Uterus', Oman Medical Journal. doi:10.5001/omj.2024.12.
Vancouver
Hakimi HMH, Ramli N, Napes MM, Wahab WNN, Rohim RAA. Placenta Accreta Spectrum in Normal Situated Placenta and Unscarred Uterus. Oman Medical Journal. 2024. doi:10.5001/omj.2024.12
IEEE
H. M. H. Hakimi, N. Ramli, M. M. Napes, W. N. N. Wahab, and R. A. A. Rohim, "Placenta Accreta Spectrum in Normal Situated Placenta and Unscarred Uterus," Oman Medical Journal, 2024, doi: 10.5001/omj.2024.12.