Cesarean Hysterectomy in Abnormally Invasive Placenta: The Role of Prenatal Diagnosis.

Cubo, Ana Maria; Villalba Yarza, Ana; Gastaca, Irene; Lapresa-Alcalde, María Victoria; Doyague, Maria José; Gónzalez, Cristina; Sayagués, José María

An abnormally invasive placenta (AIP) is a placenta that cannot be removed spontaneously or manually without causing severe bleeding. It is a dangerous condition associated with a high rate of maternal and perinatal morbidity and mortality due to the high rate of massive bleeding and visceral injuries. The standardized ultrasound diagnostic criteria have helped improve its early diagnosis, which is essential to plan coordinated actions to reduce associated morbimortality. We present a case report in which ultrasound diagnosis played a decisive role, enabling the coordination of a multidisciplinary team and improving the immediate care of both mother and newborn. Cesarean hysterectomy was performed with minimal blood loss and a good postsurgical recovery.