Maternal Death Due to Placenta Percreta: A Case Report Study

Introduction: Abnormal placental adhesion is often associated with severe life-threatening bleeding, which requires emergency hysterectomy around parturition. Abnormal adhesions of the placenta are essential causes of maternal death due to bleeding during pregnancy or after parturition. Patient Presentation : A 39-year-old patient with G ₂ P ₁ IUFD ₁ , who had a history of hypothyroidism and IUFD in the 24th week of pregnancy, had undergone a hysterotomy with classical incision.The patient with a gestational age of 36W+4D called emergency 911, complaining of pain and sweating, and was taken to the maternity Ward of hospital.The patient was triage level 1 with features of restlessness, headache, cold sweat, cephalic, no bleeding , discharge and contractions in the examination. The possibility of placenta accreta was raised in the MRI, and the emergency cesarean section was performed at 12:35. About 3-4 liters of blood due to uterine rupture before the C/S was removed after opening the abdomen. A baby was born in thick meconium with an Apgar score of 2.10 in 5 minutes. Approximately 20% of the placenta had a decollement, and there was a tear of about 4-5 cm in front of the fundus of the uterus in the place of the previous classic incision.The patient suffered cardiac arrest three times, and finally, despite the measures taken, resuscitation was not successful, and Patient expired . Conclusion: Today, placentas with abnormal adhesions are increasing due to frequent use of C/S and abnormal uterine incisions. One of the ways to reduce this critical complication is to avoid C/S without indication.