Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (3): 458-460    DOI: 10.12891/ceog3353.2017
Case Report Previous articles | Next articles
Successful management of complete placenta previa after intrauterine fetal death in a second-trimester pregnancy by uterine artery embolization: case report and literature review
S. Kaku1, *(), S. Tsuji1, T. Ono1, F. Kimura1, T. Murakami1
1 Department of Obstetrics and Gynecology, Shiga University of Medical Science, Shiga, Japan
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  A 27-year-old woman with complete placenta previa was referred at 22 weeks of gestation because of vaginal bleeding and fetal growth restriction. At 24 weeks, sudden fetal death occurred, but bleeding continued and transvaginal sonography revealed abundant periplacental blood flow in the uterine wall. To avoid cesarean section, the authors performed uterine artery embolization (UAE) before vaginal delivery of the fetus. Subsequently, there was little bleeding when laminaria was inserted for cervical ripening and the fetus was delivered vaginally by using vaginal gemeprost. Total blood loss was only 149 ml. The present case suggests that UAE may be an option for patients with placenta previa who desire vaginal delivery after intrauterine fetal death (IUFD) in a second-trimester pregnancy.
Key words:  Fetal death in utero      Grade IV placenta previa      Transvaginal sonography      Uterine artery embolization      Vaginal delivery     
Published:  10 June 2017     
*Corresponding Author(s):  S. KAKU     E-mail:  kaku@belle.shiga-med.ac.jp

Cite this article: 

S. Kaku, S. Tsuji, T. Ono, F. Kimura, T. Murakami. Successful management of complete placenta previa after intrauterine fetal death in a second-trimester pregnancy by uterine artery embolization: case report and literature review. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(3): 458-460.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3353.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I3/458

[1] Y. Wang, F.Y. Luo, Y.D. Xia, L. Mei, L. Xie, H.X. Liu. Clinical analysis of 211 cases of cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 948-952.
[2] J.H. Check, C. Dietterich. Unilateral hydrosalpinx is more likely to be associated with negative Igg chlamydia antibodies and bilateral hydrosalpinges more likely to be associated with positive levels[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 578-579.
[3] S. Gyroglou, X. Anthoulaki, D. Deuteraiou, A. Chalkidou, B. Manav, G. Galazios, V. Souftas, P. Tsikouras. Amenorrhea incidence among symptomatic premenopausal women with uterine fibroids after uterine artery embolization (UAE). Our experience[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 618-622.
[4] L. Wang, N. Zhao, J. Zhou, M. Xu. Factors for predicting cesarean section during epidural analgesia: a retrospective study[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 443-446.
[5] N. Yachida, M. Itsukaichi, K. Haino, T. Usuda, J. Yoshimura, T. Enomoto, M. Yamaguchi, K. Takakuwa. Influence of route of delivery on perinatal outcomes in fetuses with myelomeningocele[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 277-279.
[6] Mostafa Maleki, Mohsen Shams, Ali Mousavizadeh, Saadat Parhizkar, Parvin Angha. Development of a tailored intervention to promote normal vaginal delivery among primigravida women: a formative study[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 886-892.
[7] M. Paccosi. A technique variant for the use of the vacuum extractor with episiotomy to reduce maternal injuries[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(5): 713-719.
[8] O. Koukoura, V. Plitsis, E. Vlachakis, A. Daponte, I. Bizakis, I. Hajiioannou. A rare case of vaginal delivery in a woman with tracheostomy due to bilateral vocal cord paralysis[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 618-619.
[9] A. Ciavattini, N. Clemente, S. Morini, M. Fichetti, G. Delli Carpini, R. Candelari. Conservative treatment of ectopic cervical pregnancy with uterine artery embolization and cervical curettage: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 456-458.
[10] A. Rebonato, D. Maiettini, S. Gerli, M. Rossi. Interventional radiology in the management of post-partum hemorrhage[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(2): 163-165.
[11] Mi Ju Kim. Uterine artery embolization for symptomatic myoma can cause pyomyoma, acute renal failure, and ischemic heart disease: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 135-137.
[12] K. Jiang, Z. Yang, W. Sun, Y. Ouyang. Is the absence of a yolk sac associated with chromosomal abnormality in early pregnancy loss?[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(6): 910-913.
[13] A. Kitamura, Y. Kobayashi, Y. Hattori, K. Watanabe, M. Hino, T. Kurahashi, M. Miwa, I. Kamimaki, H. Nakagawa. Evaluation of vaginal delivery for twin pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 591-594.
[14] L. Xie, Y. Wang, Y.C. Man, F.Y. Luo. Preliminary experience in uterine artery embolization for second trimester pregnancy induced labor with complete placenta previa, placenta implantation, and pernicious placenta previa[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(1): 81-84.
[15] F. Çelik, E. Coşar, P. Akbas, S. Kumru, M. Kose, M. Yilmazer, G. Koken. Cesarean section: requested mode of delivery?[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(1): 85-87.
No Suggested Reading articles found!