Placental Retention with Accreta in a Uterine Anomaly

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.