Nghe An Obstetrics and Pediatrics Hospital: Successful surgery on a pregnant woman with dangerous placenta accreta

Hoang Yen May 27, 2021 15:05

(Baonghean.vn) - Ms. PTD (32 years old, Nghi Xuan district, Ha Tinh province) has just undergone a third cesarean section, at the 37-week mark, which is full of danger due to Percreta type of placenta accreta (the most severe type). Pregnancy complications are extremely dangerous for both mother and child.

Information from the Department of Obstetrics -Nghe An Obstetrics and Pediatrics Hospital:A particularly severe case of placenta accreta, penetrating the entire uterine muscle layer, invading the bladder, with the risk of postpartum bleeding, threatening the lives of both mother and child, was saved by doctors specializing in Obstetrics, Anesthesia, Surgical Resuscitation, and Neonatology.

Kiểm tra vết mổ cho sản phụ. Ảnh: Hoàng Yến
Checking the incision for the mother. Photo: Hoang Yen
Accordingly, the PTD pregnant woman was transferred toNghe An Obstetrics and Pediatrics Hospitalin a 37-week-old developing fetus. With a history of 2 previous cesarean sections, during this pregnancy, the mother rarely visited the doctor, so at 32 weeks of pregnancy, the mother discovered the condition of placenta accreta and was consulted by the doctor of Nghe An Obstetrics and Pediatrics Hospital about the complicated problem she was facing. At that time, the mother was instructed to be hospitalized early to closely monitor the fetus.

At 37 weeks pregnant, the mother was scheduled for a cesarean section. The obstetrician determined that this was an extremely critical condition. Ultrasound and MRI results showed that the patient had central placenta previa, Percreta type - the most severe type.

A group of doctors in related departments such as Obstetrics, Anesthesia, Surgical Resuscitation, Neonatology, Laboratory, and Diagnostic Imaging consulted to choose the best treatment for mother and baby.

Dr. Tran Quang Hanh said: “The pregnant woman D. had central placenta previa. The thickest part of the placenta was in the cervix, invading the cervical canal and bladder, blood vessels proliferated, and the uterus was stuck to the abdominal wall. The doctors skillfully separated and removed the adhesions to avoid heavy bleeding. After that, we made an incision in the uterus and removed the fetus. The baby boy weighed 2,800g and was born safely.

Nhờ được các bác sĩ giỏi cứu trị kịp thời, sức khỏe mẹ và con đều được đảm bảo tốt. Ảnh: Hoàng Yến
Thanks to timely treatment by good doctors, the health of both mother and child is guaranteed. Photo: Hoang Yen
Percreta placenta is a particularly severe form; the placenta invades through the uterine serosa, encroaching on neighboring organs such as the intestines and bladder, so it requires the combination of many specialties to diagnose and treat to save the mother and baby's lives... If not promptly treated by highly qualified and experienced doctors, the risk of death for both mother and baby is very high. On the morning of May 25, the mother was stable, the surgical wound was dry, little fluid drained, the baby was well cared for and monitored at the Neonatal Department.

Dr. Tran Quang Hanh further recommends: For pregnant women, it is necessary to go to medical facilities with obstetrics and gynecology departments for regular check-ups, early check-ups in the first trimester and strictly follow the doctor's advice and instructions to detect high-risk pregnancies such as cesarean section pregnancies, and have timely treatment to avoid placenta accreta later.

The risk of placenta accreta is common in pregnant women with: Placenta previa, a history of previous uterine surgery (cesarean section, fibroid removal surgery, etc.), pregnancy over 35 years old, multiple abortions, etc. Placenta accreta will cause the risk of: bleeding after birth, after surgery, placental spines piercing the uterine muscle causing perforation, uterine rupture, piercing surrounding organs such as the bladder, intestines, etc. There is a risk of having to remove the uterus to stop the bleeding as well as affecting life./.


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Nghe An Obstetrics and Pediatrics Hospital: Successful surgery on a pregnant woman with dangerous placenta accreta
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