Conservative management in a case of retained adherent place
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Morbidly adherent placenta is a serious and a catastrophic pregnancy complication. In this condition, the placenta
penetrates deeply inside the uterine walls and is not separated after delivery of the baby. Reporting herewith a case of a primigravida who had undergone Emergency lower segment Caesarean section at a private hospital for severe
pregnancy induced hypertension with IUGR and then was referred to Tertiary Care hospital with placenta left in-situ
due to non-separation of the placenta at the time of caesarean section. Conservative management was given using
Methotrexate which is an anti-metabolite alternatively with Leucovorin (Folinic acid) and followed up with serial
ultrasonography with Doppler for placental size and volume and beta-HCG levels which showed a decreasing trend
respectively....

http://www.ijrcog.org/index.php/ijrcog/article/view/2973/2521
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