Cesarean section with uterine preservation for a woman with severe placenta previa.

Ms. HTL (30 years old, residing in Thai Hoa town) has a history of two previous cesarean sections and two stillbirths at 6-7 weeks. During her third pregnancy, at 26 weeks gestation, she was diagnosed with central placenta previa and placenta accreta.

At 35 weeks and 5 days of pregnancy, the expectant mother experienced abnormal vaginal bleeding and was promptly transferred from a lower-level hospital to a higher-level facility.Nghe An Obstetrics and Pediatrics Hospital.

Clinical and paraclinical examinations by doctors from the Obstetrics Department of Nghe An Obstetrics and Pediatrics Hospital led to a specialist consultation, diagnosing a 35-week and 5-day pregnancy with central placenta previa and Percreta placenta accreta, along with a previous cesarean section scar. Ultrasound images showed central placenta previa extending through the internal cervical opening, and Percreta placenta accreta located close to the previous cesarean section scar.

The pregnant woman was quickly examined by hospital leaders, the Obstetrics Department, and related specialists who thoroughly assessed the extent of placental invasion into adjacent tissues and prepared sufficient blood supplies to ensure the safety of the surgery.

On January 21st, patient L. underwent a cesarean section. During the surgery, it was observed that the anterior surface of the uterus had numerous proliferating blood vessels penetrating from the uterine wall into the bladder, and the placenta was firmly attached to the uterine muscle. The surgical team carefully and meticulously performed the cesarean section while preserving the uterus. The surgery was successful. The baby girl weighed 2,200 grams.bornhealthy; the mother's uterus was safely preserved.

According to Master's degree holder Tran Xuan Canh, Head of the Obstetrics and Gynecology Department at Nghe An Obstetrics and Pediatrics Hospital: "The most important thing during surgery is to control all procedures to minimize blood loss and maintain control, avoiding being in a passive position. Throughout the surgery, the patient only lost about 500ml of blood, equivalent to a normal cesarean section."

The support of the Anesthesia and Resuscitation specialty is indispensable when performing surgery on this pathological condition. Therefore, the team successfully performed the cesarean section and preserved the uterus safely. Preserving the uterus is extremely important for the mother's future fertility and psychological well-being.

Placenta previa is a common condition in pregnant women with placenta accreta and a previous cesarean section scar. The placenta typically attaches to the uterine muscle at the site of the previous cesarean section scar. Once diagnosed, the patient needs to be monitored at a medical facility with modern equipment and a team of highly skilled and experienced doctors specializing in placenta previa surgery, as this is a complex procedure with significant obstetric risks.

At Nghe An Obstetrics and Pediatrics Hospital, the surgical technique for removing placenta previa has been routinely performed for many years; ensuring safety for both mother and fetus, with a high rate of uterine preservation.