TY - JOUR
T1 - Septic abortion with placenta accreta in pregnancy after endometrial ablation
AU - Gill, Lisa A.
AU - Baldwin, Elizabeth
AU - Lessard-Anderson, Collette
AU - White, Wendy
N1 - Publisher Copyright:
© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/4/24
Y1 - 2015/4/24
N2 - Background: Pregnancy after endometrial ablation is a rare event, occurring in approximately 0.7% of cases. When it occurs, serious complications may be anticipated for both mother and fetus, including abnormal placentation. Termination of pregnancy in these cases is a challenging issue, made more so by the lack of availability of these services. CASE: We report a case of pregnancy after endometrial ablation complicated by placenta accreta. Initiation of a second-trimester termination procedure with lethal fetal injection resulted in subsequent septic abortion necessitating abdominal hysterectomy. Conclusion: Pregnancy after endometrial ablation is a rare and potentially morbid event. Patients should be counseled about the necessity of contraception at the time of endometrial ablation. Termination should be approached with caution and requires the availability of skilled providers.
AB - Background: Pregnancy after endometrial ablation is a rare event, occurring in approximately 0.7% of cases. When it occurs, serious complications may be anticipated for both mother and fetus, including abnormal placentation. Termination of pregnancy in these cases is a challenging issue, made more so by the lack of availability of these services. CASE: We report a case of pregnancy after endometrial ablation complicated by placenta accreta. Initiation of a second-trimester termination procedure with lethal fetal injection resulted in subsequent septic abortion necessitating abdominal hysterectomy. Conclusion: Pregnancy after endometrial ablation is a rare and potentially morbid event. Patients should be counseled about the necessity of contraception at the time of endometrial ablation. Termination should be approached with caution and requires the availability of skilled providers.
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U2 - 10.1097/AOG.0000000000000513
DO - 10.1097/AOG.0000000000000513
M3 - Article
C2 - 25751195
AN - SCOPUS:84925424534
SN - 0029-7844
VL - 125
SP - 822
EP - 824
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 4
ER -
