A Case of Placenta Accreta Successfully Treated with Tokakujokito / 日本東洋医学雑誌

ABSTRACT

Most obstetricians rarely encounter a case of placenta accrete, where the placenta does not detach after childbirth. If placenta accrete attachment is deep, it is likely to lead to poor prognoses such as massive bleeding and shock. With western medicine, it is currently accepted that the only medical intervention is doing a simple total hysterectomy. Our patient was a 27 year old, primiparous Japanese woman. Signs of placental separation were not seen after birth, and conservative medical management for also ended up failing. This was then diagnosed as placenta accrete via sonography and an MRI, and simple total hysterectomy was recommended. She hoped to keep her uterus, however, and she was prescribed tokakujokito Kampo therapy. Her postpartum period passed without abnormality, and the placenta, which had remained intact to the 50 th day after birth, was removed. There is not literature on Kampo therapy as it applies to placenta accrete, and we believe this case to be the first valuable report.