Methotrexate in management of Morbidly Adherent Placenta at Latifa Hospital, DHA, Dubai, UAE.: Case report

Myometrial tissue trauma and scarring are the main predisposing factors resulting in both placenta previa and morbidly adherent placenta. This can be caused by multiple Caesarean sections; this risk rises as the number of prior Caesarean sections increases. Placenta accreta spectrum is not exclusively a consequence of Caesarean delivery. Other surgical trauma to the integrity of the uterine endometrium and/or super icial myometrium, such as dilatation and curettage and other surgical injuries to the myometrium: manual removal of the placenta, postpartum endometritis or myomectomy, has been associated with accreta placentation in subsequent pregnancies, as well as, assisted reproductive technology and maternal smoking.