IMR Press / CEOG / Volume 44 / Issue 3 / DOI: 10.12891/ceog3353.2017
Open Access Case Report
Successful management of complete placenta previa after intrauterine fetal death in a second-trimester pregnancy by uterine artery embolization: case report and literature review
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1 Department of Obstetrics and Gynecology, Shiga University of Medical Science, Shiga, Japan
Clin. Exp. Obstet. Gynecol. 2017 , 44(3), 458–460;
Published: 10 June 2017
A 27-year-old woman with complete placenta previa was referred at 22 weeks of gestation because of vaginal bleeding and fetal growth restriction. At 24 weeks, sudden fetal death occurred, but bleeding continued and transvaginal sonography revealed abundant periplacental blood flow in the uterine wall. To avoid cesarean section, the authors performed uterine artery embolization (UAE) before vaginal delivery of the fetus. Subsequently, there was little bleeding when laminaria was inserted for cervical ripening and the fetus was delivered vaginally by using vaginal gemeprost. Total blood loss was only 149 ml. The present case suggests that UAE may be an option for patients with placenta previa who desire vaginal delivery after intrauterine fetal death (IUFD) in a second-trimester pregnancy.
Fetal death in utero
Grade IV placenta previa
Transvaginal sonography
Uterine artery embolization
Vaginal delivery
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