ABSTRACT

In this case report, we aimed to inform about massive hemorrhage due to placenta increata during the abortion process and emphasize the importance of fast decision making in management. An eighteenth week pregnant woman was diagnosed with anhydramnios and absence of fetal heart pulse. Due to massive vaginal bleeding during pregnancy termination procedure, hysterotomy was decided and performed immediately. Failure to achieve bleeding control and detection of placenta increata led to hysterectomy. In the termination procedure of the second trimester pregnancy anomalies of placenta insertion should be thoroughly considered. Morbidity and mortality can be avoided with early diagnosis and fast decision making for management.