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Case Series
Second trimester termination of pregnancy complicated by abnormal placentation
1 Department of Obstetrics & Gynaecology, Princess of Wales Hospital, Bridgend, UK
2 Swansea University, School of Medicine; Reproductive Biology and Gynaecological Oncology, UK
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Lavinia Margarit
Department of Obstetrics and Gynaecology, Princess of Wales Hospital, Coity Road, Bridgend CF31 1RQ,
United Kingdom
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Article ID: 100970Z01SM2018
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Mohan S, Nandanan S, Riaz T, Margarit L. Second trimester termination of pregnancy complicated by abnormal placentation. Int J Case Rep Images 2018;9:100970Z01SM2018.ABSTRACT
Introduction: The presence of placenta praevia or a morbidly adherent placenta with or without co-existing previous caesarean sections can complicate 2.3% of second trimester terminations of pregnancy. Potential lifethreatening haemorrhage can pose significant risks to the patient. Available guidance on second trimester terminations does not distinguish between cases with or without abnormal placentation and/ or previous caesarean deliveries.
Case Series: We present our experience with three cases requiring termination of pregnancy for foetal anomalies. The first patient presented with placenta accreta, the second had placenta praevia and the third patient had 3 previous caesarean sections and placenta praevia. They were managed differently and had varying outcomes. A search of the existing literature demonstrated that there is a lack of evidence to suggest the most appropriate method of management of these difficult clinical situations.
Conclusion: These isolated cases need to be reported, to constitute a base for collective evidence in the future to inform optimal management.
Keywords: Fetal abnormality, Placenta accreta, Placenta praevia, Placenta percreta, Termination of pregnancy
SUPPORTING INFORMATION
Author Contributions
Suruchi Mohan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sarika Nandanan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tehmina Riaz - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Lavinia Margarit - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case series.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Suruchi Mohan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
