Conservative Management of Placenta Accreta in a Multiparous
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Case
A 32-year-old multiparous woman presented to a nursing station in Arviat, Nunavut at 34 weeks gestational age in preterm labour. The patient subsequently delivered precipitously prior to transfer to a tertiary care centre. Her obstetrical history was significant for six previous vaginal deliveries and two neonatal deaths secondary to an autosomal recessive metabolic disorder. She had been transferred to a tertiary centre in Winnipeg twice during her current pregnancy for episodes of antepartum hemorrhage. At 19 weeks, she was admitted to hospital for observation and was discharged home after 24 hours. At 32 weeks, she was admitted again for vaginal bleeding. On this admission, her hemoglobin was 78?g/L. A subsequent fetal assessment confirmed an unremarkable right anterolateral placenta that was clear of the internal os and an active fetus with a biophysical profile score of 8/8. No evidence of abruption was noted. She was discharged home.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065870/
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