Gynecology & Obstetrics
Open Access

Abstract

Conservative Management of Morbidly-Adherent Placenta Following Vaginal Deliveries: A Case Series

Akinwunmi Louis A and Omololu Sunday O

Background: A morbidly adherent placenta can be anticipated in deliveries preceded by uterine surgeries or procedures; however a few cases occur without any apparent risk factor and require a high index of suspicion. A proper diagnosis and management can avert a catastrophe. Most cases in the literature were reported following caesarean deliveries with resultant abdominal laparotomy. A rare mention is made of morbidly adherent placenta following vaginal deliveries.

Cases: Two cases of morbidly adherent placentae in middle aged women were reported and managed conservatively. There were no apparent risk factors. Both patients had uterotonics and prophylactic antibiotics with satisfactory outcomes. The two later resumed menstruations and one had a successful pregnancy and delivery subsequently.

Conclusion: Morbidly adherent placenta can be managed conservatively in well selected cases following vaginal delivery. Simple use of uterotonic, analgesic and antibiotics can prevent a laparotomy with its attendant complications.