Placenta Previa Accreta: A Case Report on Management of Elective Cesarean Delivery at Tertiary Hospital in West Nusa Tenggara

DOI

10.2991/ahsr.k.220206.061How to use a DOI?

Keywords

Placenta; Previa; Accreta; Cesarean; Hysterectomy; Delivery

Abstract

The Incidence and prevalence of placenta accreta and placenta previa has increased due to the increasing numbers of cesarean deliveries. Placenta accreta is one of the most serious complications of pregnancy and is often associated with placenta previa and severe obstetric hemorrhage and one of an important cause of maternal-fetal-neonatal morbidity and mortality. We report the case of a 32-year-old woman who diagnosed with gravida 4 para 2 with two times previous cesarean sections, 1 time abortion, and history of adhesion during her second cesarean section. The diagnosis by ultrasound and followed by cystoscopy examination showed invasion of placental blood vessels to detrusor muscle and submucous of urinary bladder. The decision for elective cesarean section was made and delivery time was at 34+3 weeks of gestation. A 2500g male baby has been delivered, placenta was not removed due to massive bleeding that occurred during the operation and an urgent decision for supra-cervical hysterectomy was taken. Patient admitted to intensive care unit due to severe blood loss during operation and the patient was discharged on the sixth day of postoperative treatment. Pathologies that occur in placental implantation such as placenta previa and placenta accreta are often associated with high maternal-fetal-neonatal morbidity and mortality. Cesarean section with hysterectomy is usually performed between 34-36 weeks of gestation before the time of delivery to await sufficient surfactant in the fetal lungs and limit the possibility of massive bleeding.

Copyright

© 2022 The Authors. Published by Atlantis Press International B.V.

Open Access

This is an open access article under the CC BY-NC license.

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TY  - CONF
AU  - Ainun Karima
AU  - G.M Punarbawa
AU  - Muhammad Rizkinov Jumsa
AU  - F.P. Suwana.
PY  - 2022
DA  - 2022/02/21
TI  - Placenta Previa Accreta: A Case Report on Management of Elective Cesarean Delivery at Tertiary Hospital in West Nusa Tenggara
BT  - Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)
PB  - Atlantis Press
SP  - 327
EP  - 330
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.220206.061
DO  - 10.2991/ahsr.k.220206.061
ID  - Karima2022
ER  -