Examinando por Materia "Shock hipovolémico"

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    Placent acretism in manager of high risk obstetric with previous placenta diagnosis in EESS de level III – february 2018
    (Universidad Privada Norbert Wiener, 2019-09-05) Sucso Ramírez, Ruth; Tejada Bances, Cintia Maribel; Sanz Ramirez, Ana María
    Objective: To describe the management of a case of placenta accreta in a patient diagnosed with placenta previa at a level III healthcare facility. Materials and Methods: A descriptive, observational, retrospective study based on the review of the clinical history of a patient with placenta accreta treated in February 2018. Results: A 37-year-old multigravida patient at 33 weeks of gestation had three prenatal checkups and an incomplete perinatal card. She presented with vaginal bleeding and was referred to a higher-level healthcare facility during the third trimester of pregnancy. The diagnosis was total placenta previa with placenta accreta. The pregnancy was managed by hospitalization, but due to delays in determining the degree of accreta, the pregnancy was terminated by cesarean section and hysterectomy. A live male newborn was delivered, weighing 3010 grams, with an APGAR score of 6 at 1 minute and 7 at 5 minutes. Following the hysterectomy, the patient experienced hypovolemic hemorrhagic shock due to placenta accreta. Blood products were transfused, and she was stabilized. The patient had a favorable recovery and was discharged on the third day post-cesarean. Conclusion: The patient and her newborn had favorable outcomes despite the risk factors and complications encountered.