Case Report: Pregnancy with Risk of Placenta Accreta with Gynecologic Problems

Septinda Ayu Prasninda J.Putri, Wahyul Anis^*, Rize Budi Amalia

Abstract

Introduction: Pregnancies with gynecologic complications, such as ovarian cysts, uterine myomas, and placenta accreta, may increase the risk to both mother and fetus. Ovarian cysts, although often benign, can cause complications such as torsion. Uterine myomas are found in 10-20% of pregnancies and have the potential to cause bleeding, premature birth, or fetal position disruption. Placenta accreta, common in patients with a history of caesarean section, requires early diagnosis to prevent massive bleeding. Management involves routine ultrasonography, conservative therapy, and surgery when necessary. A multidisciplinary approach to patient education is essential. This case report aims to assess a pregnancy with Gynecologic complications accompanied by placenta accreta. Case Report: A 39-year-old woman, GIII P2002, 8-9 weeks pregnant with a history of two SCs, presented with complaints of abdominal pain and bleeding. Examination revealed pregnancy in the SC scar niche and uterine myoma. Diagnosis included Cesarean Scar Pregnancy (CSP), uterine myoma, and iatrogenic buli rupture. The patient underwent One Step Conservative Surgery (OSCS) for CSP and myomectomy, and postoperative medical therapy. Discussion: This condition involves high risks, including severe bleeding, uterine rupture, and organ injury such as the bladder. Treatment includes antenatal screening with ultrasound and MRI, conservative surgery, and a multidisciplinary approach to prevent complications. Postoperatively, intensive care, psychological support, and patient education are required for optimal recovery. Conclusion: Pregnancies with a history of SC, uterine myoma, ovarian cyst, and placenta accreta require early diagnosis, surgical planning, and a multidisciplinary approach. Prevention through contraception and psychological support can improve pregnancy outcomes and reduce the risk of complications.

Keywords

myoma uteri; placenta accrete; cyst.

Cite This Article

Putri, S. A. P. J., Anis, W., Amalia, R. B. (2025). Case Report: Pregnancy with Risk of Placenta Accreta with Gynecologic Problems. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 1: Jan-Feb 2025, Pages 77-82, URL: https://www.ijscia.com/wp-content/uploads/2025/01/Volume6-Issue1-Jan-Feb-No.825-77-82.pdf

Volume 6 | Issue 1: Jan – Feb 2025