Successful management of intraoperative hemorrhage from placenta previa accreta: intrauterine tamponade balloons brought out through the abdominal wall

• Published in: The journal of maternal-fetal & neonatal medicine Vol. 27; no. 3; p. 309
• Main Authors: Kondoh, Eiji, Kawasaki, Kaoru, Kawamura, Akeo, Ueda, Akihiko, Fujita, Kohei, Konishi, Ikuo
• Format: Journal Article
• Language: English
• Published: England 01.02.2014
• Subjects: Adult; Cesarean Section; Female; Humans; Placenta Accreta - surgery; Placenta Previa - surgery; Postpartum Hemorrhage - etiology; Postpartum Hemorrhage - therapy; Pregnancy; Uterine Balloon Tamponade - methods
• ISSN: 1476-4954
• DOI: 10.3109/14767058.2013.809418

Conservative management for placenta previa accreta (PPA) may be preferred, but uncontrollable hemorrhage sometimes occurs during a cesarean section. We present a case with a successful maneuver for the management of intraoperative hemorrhage in PPA. Profuse hemorrhage occurred due to partial placental separation during a cesarean section. The bleeding was stopped by the placement of intrauterine tamponade balloons with their shafts passed through the anterior abdominal wall. The catheters were removed after 24 h. The patient had no complications, and the placenta spontaneously resorbed three months after delivery. This is a useful addition to the options for management of PPA at cesarean section.