Caesarean section, preserving the uterus for pregnant women with severe placenta accreta
Doctors at Nghe An Obstetrics and Pediatrics Hospital performed a cesarean section to ensure the safety of a pregnant woman with severe placenta accreta.
Pregnant woman HTL (30 years old, in Thai Hoa town) had a history of 2 cesarean sections, 2 stillbirths at 6-7 weeks. During her third pregnancy, at 26 weeks, the pregnant woman discovered she had central placenta previa - placenta accreta.
At 35 weeks and 5 days of pregnancy, the pregnant woman showed signs of abnormal vaginal bleeding and was quickly transferred to a lower level hospital.Nghe An Obstetrics and Pediatrics Hospital.
Clinical and paraclinical examination, doctors of the Department of Obstetrics and Gynecology - Nghe An Obstetrics and Pediatrics Hospital consulted with specialists, diagnosed 35 weeks and 5 days of pregnancy, central placenta previa - placenta accreta Percreta / old cesarean section scar. Ultrasound images showed central placenta previa spreading through the internal os of the cervix, placenta accreta Percreta located close to the old cesarean section scar.
The pregnant woman was quickly consulted by hospital leaders, the Department of Obstetrics and Gynecology, and related specialists for a thorough examination to assess the level of placental invasion into neighboring tissues, and to fully reserve blood supply to ensure a safe surgery.
On January 21, the pregnant woman L. underwent a cesarean section. During the surgery, it was found that the front of the uterus had many blood vessels proliferating 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 and preserved the uterus. The surgery was successful. The baby girl weighed 2,200 grams.bornhealthy; the mother's uterus is safely preserved.
Master Tran Xuan Canh - Head of Obstetrics Department, Nghe An Obstetrics and Pediatrics Hospital said: The most important thing in the surgery is to control all operations to limit blood loss and take the initiative, avoiding being passive. Throughout the surgery, the patient only lost about 500ml of blood, equivalent to a normal cesarean section.
The support of the Anesthesia and Resuscitation department is indispensable when performing surgery on this pathology. Therefore, the team performed the surgery to safely deliver the fetus and preserve the uterus for the mother. Preserving the uterus for the mother is extremely meaningful for the reproductive ability as well as the psychology of the woman later.
Placenta accreta is a common disease in pregnant women with placenta previa and previous cesarean section scars. The placenta is often located at the previous cesarean section scar in the uterine muscle. Once detected, the pregnant woman needs to be monitored at a medical facility with modern equipment as well as a team of highly skilled and experienced doctors in placenta accreta surgery, because this is a difficult technique with many potential obstetric risks.
At Nghe An Obstetrics and Pediatrics Hospital, the placenta accreta surgery technique has been performed routinely for many years; ensuring safety for the mother and fetus, with a high rate of uterine preservation./.