Examinando por Autor "Quispe Canorio, Angela Idania"

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    Placental insertion anomaly as a cause of postpartum hemorrhage managed in a level III-2 health facility in July 2017
    (Universidad Privada Norbert Wiener, 2023-02-20) Quispe Canorio, Angela Idania; Yarihuamán León, Katty Kelyn; Sanz Ramirez, Ana María
    A clinical case is presented of a 35-year-old second digestive tract, with 36 weeks of gestational age, with a diagnosis of placental accreta of the percreta variety with infiltration to the bladder wall; and with a history of a previous cesarean section, 6 years ago. The risk factors present were: advanced maternal age, multiparity and previous cesarean section. The pregnant woman underwent an elective cesarean section which was complicated intraoperatively with severe hemorrhage greater than 2000 ml due to placenta percreta with trophoblastic infiltration towards the bladder wall, which forced an immediate decision to perform a total hysterectomy and bladder suture. A live newborn was obtained with a normal Apgar score and adequate weight for gestational age. Patient progresses favorably with a patent Foley catheter and antibiotic therapy coverage. He was discharged from the hospital on the 14th postoperative day.