To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This chapter discusses the implications, diagnostic signs, and management strategies of the condition called morbidly adherent placenta. The definitive diagnosis can be made only at surgery. Ultrasound examination with colour Doppler and MRI scans may aid diagnosis. Antenatal diagnosis should be made to ensure optimum outcome. For women with placenta percreta, management options include conservative management of the placenta (intentional retention of placenta or IRP) elective caesarean hysterectomy with or without bladder resection or uretetric implantation or the 'Triple P Procedure'. Radical surgical management involves total abdominal hysterectomy with or without bladder resection for placenta percreta. Patients should be managed in obstetric high dependency unit or ITU to recognise and manage complications. Patient compliance should be ensured prior to embarking on conservative management as delay in treatment for secondary haemorrhage or sepsis may increase maternal morbidity and mortality.
Email your librarian or administrator to recommend adding this to your organisation's collection.