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Management of placenta percreta in a Jehovah's Witness patient

Adriana J Wong1, Matthew Schlumbrecht2, Marilyn Huang2

  • 1University of Miami Miller School of Medicine, Miami, FL, USA.

BMJ Case Reports
|June 14, 2018
PubMed

Placenta percreta is increasing in incidence and is associated with the risk of life-threatening haemorrhage. Patients who do not accept blood products present a unique challenge to obstetrician-gynaecologists. In this case report, we present the case of a 42-year-old pregnant Jehovah's Witness with a complete placenta previa and confirmed percreta at 26 weeks' gestation. Due to her religious beliefs against the use of blood products, she was managed with a stepwise surgical approach which involved caesarean delivery with internal iliac (hypogastric) artery ligation, weekly methotrexate and delayed hysterectomy 6 weeks later. Non-traditional, alternative approaches to the management of abnormal placentation in patients declining blood products warrant exploration.

Keywords:
obstetrics and gynaecologypregnancy

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