Saving the life of a pregnant woman with rare placenta accreta

On September 29, the pregnant woman LTTH (Nghia Thang commune, Nghia Dan district) was admitted to the Obstetrics Department - Nghe An Obstetrics and Pediatrics Hospital in critical condition. The pregnant woman was bleeding profusely due to the placenta being attached to the front, the lower edge of the placenta spreading through the opening in the cervix.... The LTTH patient had a history of 2 cesarean sections, this time at 7 months of pregnancy.

The pregnant woman LTTH is being monitored at the Obstetrics Department - Nghe An Obstetrics and Pediatrics Hospital. Photo: Hoai Giang

Immediately after receiving the patient, the hospital doctors quickly held a consultation and decided to perform a cesarean section. The cesarean section was performed at 9:08 a.m. the same day. The surgical team decided to remove the uterus, transfuse 12 units of blood, and 4 units of fresh frozen plasma to stabilize the hemodynamic status of the mother.

With efforts and positive treatment, the surgery was successful after nearly 3 hours, both mother and baby are safe, the mother is being monitored at the Obstetrics Department - Nghe An Obstetrics and Pediatrics Hospital. The baby girl, weighing 1800 grams, was given oxygen and transferred to the Neonatal Intensive Care Unit for further treatment. Up to now, the baby does not need oxygen, can breastfeed on her own and has good reflexes.

In the past 2 weeks, the Obstetrics Department - Nghe An Obstetrics and Pediatrics Hospital has continuously received 4 cases of pregnant women with placenta accreta.

According to Master, Doctor Tran Quang Hanh - Deputy Head of Obstetrics Department, Nghe An Obstetrics and Pediatrics Hospital, "Patient H's case is very lucky because she was given emergency care and timely treatment, because in cases of placenta accreta, bladder invasion, and old age like Ms. H's, it will lead to premature birth and heavy bleeding during birth, which is very dangerous.

Therefore, diagnosis and treatment must be careful, surgery should only be performed at specialized hospitals with adequate conditions and experienced doctors.

Doctor Tran Quang Hanh also noted that to minimize risks, women need to be proactive in family planning, avoid abortion and not abuse cesarean section to avoid the risk of placenta accreta in future pregnancies../.

Placenta accreta is a condition in which the placenta adheres abnormally to the uterine muscle layer of the pregnant woman. Depending on the degree of placental invasion, it is divided into 3 levels: mild level is when the placenta adheres tightly and invades part of the uterine muscle; moderate level is when the placenta invades deeply into the uterine muscle but has not passed through the uterine serosa; severe level is when the placenta penetrates the uterine serosa and invades neighboring organs such as the bladder and intestines.