Placenta praevia with placenta accreta: A true maternal near miss

摘要

Placenta accreta is an uncommon but a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate. We present a case of term pregnancy with placenta praevia and placenta accreta referred to a rural tertiary institute of central India in emergency hours with profuse bleeding per-vaginum. This case report is an example of a true near miss as the patient went into cardiac arrest at the time of caesarean section, but could be revived by sustained effort with timely resuscitation, caesarean hysterectomy and internal iliac artery ligation. It is an example of team effort by Obstetricians and Anesthetists to save a maternal life.