Examinando por Materia "Placental accreta"

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(Universidad Privada Norbert Wiener, 2018-12-06) Torres Santisteban, Karla Isabel; Cárdenas Hernández, Rosario Alicia; Rodriguez Chávez, Carlos Leonidas
Objective: To describe the management of a clinical case of placental accreta in a woman with a previous cesarean section and a diagnosis of placenta previa at the National Maternal and Perinatal Institute. Materials and Methods: This is a case study chosen at the National Maternal and Perinatal Institute in Lima, May 2017. Personal, pathological, obstetric history, clinical examination, diagnoses, auxiliary tests, specialty management, and the evolution from admission through emergency to medical discharge were analyzed, considering relevant references about the clinical case. Results: A clinical case of a 42-year-old multigravida, multiparous woman at 38 weeks of gestation is presented. She was diagnosed with placental accreta with risk factors including a previous cesarean section, advanced maternal age, placenta previa, and multiparity. The patient underwent a cesarean section and suffered a massive hemorrhage of over 1500 cc due to total placenta previa adhered to the uterine segment, which required immediate total abdominal hysterectomy. A live newborn was delivered with a normal Apgar score and appropriate weight for gestational age. The patient progressed favorably postoperatively and was discharged on the fifth day of hospitalization. Conclusion: The relevant risk factors for the clinical suspicion of placental accreta that must be considered during prenatal care are mainly obstetric history, such as a previous cesarean section and a diagnosis of placenta previa.