MANAGEMENT OF PLACENTA PERCRETA WITH UTERINE RUPTURE-A CASE REPORT

Uterine rupture due to Placenta Percreta is very rare with the incidence of 1in 533 pregnancies(4).Placenta accreta is a placental implantation that results in an abnormal firm adherence of the placenta to the uterine wall. In Placenta increta placenta invades into the uterine musculature. The most severe form of accreta is placenta percreta. In placenta percreta, penetration of the trophoblast through the myometrium , into the uterine serosa and also through the adjacent organs(Bladder and rectum). Placenta accreta is considered as a severe pregnancy complication that may be associated with massive and potentially life-threatening intrapartum and postpartum hemorrhage (2).Maternal mortality with Placenta Accreta has been reported to be as high as 7percentage(7). As many as 90 of patients with placenta percreta requires Blood transfusion and 40 require more than 10 units of blood transfusion.