Mifepristone and Misoprostol for the management of placenta accreta - a new alternative approach.

摘要

Case 1A primigravida delivered vaginally at 39 weeks gestation. The placenta was retained despite the use of oxytocics and attempts of manual removal. Two senior obstetricians attempted to remove the placenta even by piecemeal without success as there was no line of cleavage between placenta and uterine wall. Her pre-delivery haemoglobin concentration was 10.9 g/dl and the estimated blood loss at delivery was 500 ml.