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Postabortal hemorrhage due to placenta increta: a case report
M A Harden1, M D Walters, P T Valente
1Department of Obstetrics and Gynecology, University of Texas Health Science Center, San Antonio.
Obstetrics and Gynecology
|March 1, 1990
Summary
This case report details a rare first-trimester placenta accreta, a condition where the placenta abnormally adheres to the uterine wall. Early gestation placenta accreta may become more common due to rising rates of uterine surgeries.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Placenta accreta involves abnormal adherence of the placenta to the myometrium.
- It is exceptionally rare before 20 weeks' gestation, with only eight prior cases reported.
- Risk factors primarily include previous uterine trauma.
Observation:
- This report details a case of first-trimester placenta accreta.
- The condition presented during suction curettage for a missed abortion.
- This is one of the earliest documented cases of placenta accreta.
Findings:
- The case highlights that placenta accreta can occur in the first trimester.
- It underscores the importance of considering this diagnosis even in early pregnancy complications.
- The presentation during a procedure for missed abortion is unusual.
Implications:
- Rising rates of operative births may increase the incidence of early gestation placenta accreta.
- Increased awareness is needed among clinicians for early diagnosis and management.
- Further research into the causes and management of early-onset placenta accreta is warranted.