New method for management of massive haemorrhage in case of placenta increta

Aims: Abnormal placenta adhesion with massive postpartum haemorrhage (PPH) is a major cause of dangerous complications in obstetrics, with the highest risk for maternal mortality worldwide. Case: An 18-year old nullipara presented with fulminate postpartum bleeding after caesarean section due to placenta increta. The patient developed a haemorrhagic and septic shock associated with disseminated intravascular coagulation (DIC). Treatment with uterotonic drugs like oxytocin and prostaglandins and conservative procedures like transfusion of packed red cells and fresh frozen plasma failed to control the diffuse blee…