Management of placenta percreta in a Jehovah's Witness patient

Adriana J. Wong, Matthew Schlumbrecht, Marilyn Huang

Research output: Contribution to journalArticle

Abstract

Placenta percreta is increasing in incidence and is associated with the risk of life-threatening haemorrhage. Patients who do not accept blood products present a unique challenge to obstetrician-gynaecologists. In this case report, we present the case of a 42-year-old pregnant Jehovah's Witness with a complete placenta previa and confirmed percreta at 26 weeks' gestation. Due to her religious beliefs against the use of blood products, she was managed with a stepwise surgical approach which involved caesarean delivery with internal iliac (hypogastric) artery ligation, weekly methotrexate and delayed hysterectomy 6 weeks later. Non-traditional, alternative approaches to the management of abnormal placentation in patients declining blood products warrant exploration.

Original languageEnglish (US)
JournalBMJ Case Reports
Volume2018
DOIs
StatePublished - Jun 11 2018

Fingerprint

Jehovah's Witnesses
Placenta Accreta
Placenta Previa
Placentation
Iliac Artery
Religion
Hysterectomy
Methotrexate
Ligation
Hemorrhage
Pregnancy
Incidence

Keywords

  • obstetrics and gynaecology
  • pregnancy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Management of placenta percreta in a Jehovah's Witness patient. / Wong, Adriana J.; Schlumbrecht, Matthew; Huang, Marilyn.

In: BMJ Case Reports, Vol. 2018, 11.06.2018.

Research output: Contribution to journalArticle

Wong, Adriana J. ; Schlumbrecht, Matthew ; Huang, Marilyn. / Management of placenta percreta in a Jehovah's Witness patient. In: BMJ Case Reports. 2018 ; Vol. 2018.
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