A 34 year old woman, 39 1/7 weeks pregnant, with known plac | Figure 1
Case Overview
A 34 year old woman, 39 1/7 weeks pregnant, with known placenta previa presents with abdominal cramping for one week. The decision was made to bring patient to OR for caesarian section. However she was found to have placenta percreta and had massive (8 L) intraoperative bleeding. By hospital day 2 she continued to have high transfusion requirements and the patient developed brisk uterine bleeding and hemodynamic instability.
Discussion Questions
- What is placenta percreta and how does it differ from other placental attachment abnormalities?
- What interventions would you consider to control this patient’s hemodynamic instability?