DOI: 10.36347/sjmcr.2014.v02i12.001

Pages: 767-769

The objective of the study was to describe the management of a first trimester vaginal bleeding caused by abnormal placentation.In this paper one cases of first trimester of pregnancy with sever vaginal bleeding reported who presented at the Department of Gynecology and Obstetrics in November 2012.A 38-year- old G3L2 (2*C/S) candidate curettage for the reason that she had molar pregnancy (GA=11w+3d) confirmed by Ultrasonography. We placed laminaria in the internal OS for cervical ripening. Immediately sever vaginal bleeding began after that fixed laminaria, she received oxitocin, misoprostole, serum and blood products during curettage. Extremely, uterus expelled because of continued sever vaginal bleeding. Hysterectomy pathology was confirmed placenta increta.Our case suggests that abnormal placenta attachment to myometrium present in through the pregnancy. We must know in a pregnant women with sever or prolonged vaginal bleeding even in the first trimester placenta increta has to be considered as a differential.