An Undiagnosed of Placenta Accreta Presenting as a Massive Bleeding in Obstetric Emergency
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Abstract
Twenty-four-year-old Thai female couple patient had history of normal delivery in first pregnancy. Blighted ovum in second pregnancy was treated with uterine curettage. Right Ovarian tumor was diagnosed and surgery was performed before this pregnancy. This pregnancy received antenatal care since 5+6 weeks of pregnancy and placental previa was detected and spotting bleeding per vagina was found in first trimester. After follow up by transabdominal ultrasound was not seen placental previa and normal delivery at 38 weeks of pregnancy, only seven minutes after child delivery, placenta was not completed delivery but blood from vagina flowed all the time. Manual removal of placenta was done and found that some pieces of placenta adherent to the uterus and then severe postpartum hemorrhage occurred so there is an urgent hysterectomy. First day after surgery patient was cared in intensive care unit and later was moved to the postpartum ward. Patient was cared for 4 days until she was healthy and able to go home along with her children.
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References
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