Placental Retention with Accreta in a Uterine Anomaly

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Authors

  • Solwayo Ngwenya Consultant Obstetrician and Gynaecologist, Head of Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Vera Road; Founder and Chief Executive Officer Royal Women’s Clinic, 52A Cecil Avenue, Hillside, Bulawayo, Matabeleland, Zimbabwe

DOI:

https://doi.org/10.17140/GOROJ-3-130

Keywords:

Retained placenta, Uterine anomalies, Life-threatening, Catastrophic haemorrhage, Reproductive outcomes, Maternal mortality

Abstract

A 32 year-old P1G2 went into spontaneous labour at 37 weeks gestation. Precipitate labour progressed to a normal vaginal delivery (NVD) of a baby boy within 2 hours of onset. She had a retained placenta. The patient was taken to theatre for an examination under anaesthesia and manual removal of placenta. It was discovered that she had uterine anomaly. A calcified accretic placenta was manually removed. The patient was kept on an oxytocin infusion overnight and given intravenous broad spectrum antibiotics. She made a good recovery and was discharged home after 3 days on oral antibiotics.

References

Nahum GG. Uterine anomalies: How common are they, and what is their distribution among subtypes? J Reprod Med. 1998; 43(10): 877-887. Web site. http://europepmc.org/abstract/ med/9800671. Accessed June 12, 2016

Zhang Y, Zhao YY, Qiao J. Obstetric outcome of women with uterine anomalies in China. Chin Med J (Engl). 2010; 123(4): 418-422. Web site. http://124.205.33.103:81/ch/reader/view_ab-stract.aspx?file_no=201022059246370&flag=1. Accessed June 12, 2016

Wilson TM. Retained placenta incarcerated in the rudimentary horn of a double uterus. Am J Obstet Gynecol. 1955; 70(3): 669- 671. Web site. http://www.ncbi.nlm.nih.gov/pubmed/13238517. Accessed June 12, 2016

Rao KP, Belogolovkin V, Yankowitz J, Spinnato JA. Ab-normal placentation: Evidence-based diagnosis and manage-ment of placenta previa, placenta accrete, and vasa previa. Ob-stet Gynecol Surv. 2012; 67(8): 503-519. doi: 10. 1097/OGX. Ob013e3182685870

Raga F, Bauset C, Remohi J, Bonilla-Musoles F, Simon C, Pellicer A. Reproductive impact of congenital mullerian anoma-lies. Hum Reprod. 1997; 12(10): 2277-2281. doi: 10.1093/hum-rep/12.10.2277

Ma S, Bian X, Lang J. Pregnancy and its outcome in wom-en with malformed uterus. Zhonghua Yi Xue Za Zhi. 2001; 81(7): 415-417. Web site. http://europepmc.org/abstract/ med/11798909. Accessed June 12, 2016

Hiersch L, Yeoshoua E, Miremberg H, et al. The association between mullerian anomalies and short-term pregnancy out-come. J Matern Fetal Neonatal Med. 2016; 29(16): 2573-2578. doi: 10.3109/14767058.2015.1098613

Hua M, Odibo AO, Longman RE, Macones GA, Roehl KA, Cahill AG. Congenital uterine anomalies and adverse pregnancy outcomes. Am J Obstet Gynecol. 2011; 205(6): 558.e1-558.e5. doi: 10.1016/j.ajog.2011.07.022

Pal K, Majumdar S, Mukhopadhyay S. Rupture of rudimen-tary uterine horn pregnancy at 37 weeks geststion with fetal survival. Arch Gynecol Obstet. 2006; 274(5): 325-326. doi:

1007/s00404-006-0170-y 10. Rackow BW, Arici A. Reproductive performance of women with mullerian anomalies. Curr Opin Obstet Gynecol. 2007; 19(3): 229-237. doi: 10.1097/GCO.0b013e32814b0649 Gynecol Obstet Res Open J Page 18

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Published

2016-07-18

How to Cite

Solwayo Ngwenya. (2016). Placental Retention with Accreta in a Uterine Anomaly. Gynecology and Obstetrics Research, 3(1), 16–18. https://doi.org/10.17140/GOROJ-3-130

Issue

Vol. 3 No. 1 (2016): Volume 3 Issue 1 2016

Section

Articles

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This work is licensed under a Creative Commons Attribution 4.0 International License.

All content published in Gynecology and Obstetrics Research (GOR) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.