Successful Management of Massive Obstetric Haemorrhage due to Placenta Previa/Accreta – A Case Report

Placenta accreta in association with placenta previa and previous caesarean delivery is a condition of increasing clinical significance1. Bleeding from placenta previa/ accreta of the lower uterine segment, during caesarean section operation or its immediate postpartum period portrays a difficult management problem in obstetrics. Approach to control such a bleeding depends upon the individual case and includes uterine packing, bilateral uterine artery ligation, bilateral internal illiac artery ligation, trans-catheter arterial embolization, and hysterectomy. One case of placenta previa/accreta with history of previous caesarean section with intractable postpartum bleeding is being reported here.