Introduction:
Placenta accreta in association with placenta previa and
previous caesarean delivery is a condition of increasing
clinical significance1. Bleeding from placenta previa/
accreta of the lower uterine segment, during caesarean
section operation or its immediate postpartum period
portrays a difficult management problem in obstetrics.
Approach to control such a bleeding depends upon the
individual case and includes uterine packing, bilateral
uterine artery ligation, bilateral internal illiac artery
ligation, trans-catheter arterial embolization, and
hysterectomy 2, 3. One case of placenta previa/accreta
with history of previous caesarean section with
intractable postpartum bleeding is being reported here.