{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:08:03Z","timestamp":1777907283120,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>The placenta accreta spectrum (PAS) describes invasion and adherence of the placenta onto or beyond the myometrium. Prenatal imaging improves management outcomes. In low- and middle-income countries (LMIC), however, the unavailability of ultrasonography in some health facilities delays the diagnosis, particularly if the prenatal period is asymptomatic. Following vaginal delivery, it often manifests as failure to remove a retained placenta manually. In the absence of haemorrhage, expectant management involving leaving the placenta in situ, is an option. In the presence of haemorrhage and\/or sepsis, hysterectomy is usually recommended. We present a case of an expectantly managed PAS following a spontaneous preterm vaginal birth. The patient developed puerperal uterine prolapse with the placenta in situ, a previously unreported complication, but this was successfully reduced manually.<\/jats:p>","DOI":"10.1177\/0049475519898557","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T23:50:58Z","timestamp":1578527458000},"page":"160-162","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Expectant management of retained abnormally adherent placenta complicated by uterine prolapse after vaginal delivery"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2278-5836","authenticated-orcid":false,"given":"Nnabuike C","family":"Ngene","sequence":"first","affiliation":[{"name":"Head of Clinical Unit, Department of Obstetrics and Gynaecology, Klerksdorp Hospital, North West, South Africa; and Joint lecturer, Department of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amon","family":"Siveregi","sequence":"additional","affiliation":[{"name":"Medical Officer, Department of Obstetrics and Gynaecology, Klerksdorp Hospital, North West, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,8]]},"reference":[{"key":"bibr1-0049475519898557","doi-asserted-by":"publisher","DOI":"10.1177\/0049475515585639"},{"key":"bibr2-0049475519898557","author":"Jauniaux ERM","year":"2018","journal-title":"BJOG"},{"key":"bibr3-0049475519898557","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12407"},{"key":"bibr4-0049475519898557","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12410"},{"key":"bibr5-0049475519898557","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.09.042"},{"key":"bibr6-0049475519898557","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.02.054"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475519898557","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475519898557","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475519898557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:32:03Z","timestamp":1777642323000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475519898557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,8]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1177\/0049475519898557"],"URL":"https:\/\/doi.org\/10.1177\/0049475519898557","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,8]]}}}