Korean J Perinatol.  2009 Sep;20(3):260-265.

A Case of Placenta Increta Successfully Treated with Methotrexate and Misoprostol

• Han YJ
• Park MH
• Hye CJ
• Baek JC
• Park JK
• Lee JH
• Paik WY

Abstract

Placenta accreta is a rare complication of pregnancy with high rates of maternal morbidity and mortality. Although the incidence of placenta accreta was rare in the past, it is sharply rising as a result of the dramatic increases in the cesarean section rate. Hysterectomy is the most effective way to manage the placenta accreta in the majority of cases. While in many situations hysterectomy will remain appropriate, there are other management options available involving conservative approaches. In this article, we report our experience of a successful conservative treatment using methotrexate and misoprostol to a patient in whom the whole placenta was not detachable from the uterus due to placenta increta.

Keyword

Placenta increta; Methotrexate; Misoprostol

MeSH Terms

Cesarean Section
Female
Humans
Hysterectomy
Incidence
Methotrexate
Misoprostol
Placenta
Placenta Accreta
Pregnancy
Uterus
Methotrexate
Misoprostol