as above Accreta. It is conincidental to see this question asked, as we had one in our unit, unexpected just last week. The poor lady ended up with a hysterectomy. It was her 3rd child. Poor mama had a fantastic natural, unmedicated, no pit labor and delivery and ended up with an abdominal hysterectomy. So sad. The whole unit was shook up about it. The lady was literally bleeding to death on the operating room table. She had a few units of blood given and volume expanders.
NOTE: This was the ONLY accreta that we have ever had in our unit in 9 years that had a hysterectomy..so this is rare!