Successful organ-preserving delivery of a pregnant woman with placenta previa and placenta increta at 41 weeks of gestation
- Authors: Umanskiy M.N.1, Chernobabova T.V.1, Evseev A.V.1, Baranov A.P.1, Berezhnaya E.V.2
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Affiliations:
- Rostov Regional Perinatal Center
- Rostov State Medical University, Ministry of Health of Russia
- Issue: No 11 (2023)
- Pages: 200-204
- Section: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/626147
- DOI: https://doi.org/10.18565/aig.2023.86
- ID: 626147
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Abstract
Relevance: Placenta increta is a severe abnormality of placentation which can cause massive obstetric bleeding and life-threatening complications for a pregnant woman and fetus, and which is classified worldwide as a “near miss”. The issues of tactics of management and delivery in pregnant women with placenta increta continue to be an urgent problem of obstetrics, therefore, it is necessary to continue improving the existing approaches to the delivery in this category of patients.
Case report: This clinical case demonstrates the successful medical treatment of a pregnant woman with placenta previa and placenta increta at 41 weeks 3 days. After a comprehensive preparation, an organ-preserving operation was performed with the involvement of related specialists and the use of modern blood-saving technologies.
Conclusion: It was possible to save the life of a “near miss” patient and perform an organ-preserving operation by using a multidisciplinary approach in a level III hospital. It is necessary to develop and approve a protocol for providing medical care to pregnant women with placenta increta.
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About the authors
Maxim N. Umanskiy
Rostov Regional Perinatal Center
Email: perinatal-rost@mail.ru
PhD, Chief Physician
Russian Federation, 344068, Rostov-on-Don, Bodraya str., 90Tatyana V. Chernobabova
Rostov Regional Perinatal Center
Email: perinatal-rost@mail.ru
Head of the Department of Gynecology
Russian Federation, 344068, Rostov-on-Don, Bodraya str., 90Andrey V. Evseev
Rostov Regional Perinatal Center
Email: perinatal-rost@mail.ru
PhD, Head of the Operating block
Russian Federation, 344068, Rostov-on-Don, Bodraya str., 90Anton P. Baranov
Rostov Regional Perinatal Center
Email: perinatal-rost@mail.ru
obstetrician-gynecologist at the Maternity Department
Russian Federation, 344068, Rostov-on-Don, Bodraya str., 90Elizaveta V. Berezhnaya
Rostov State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: liberezhnaya@yandex.ru
ORCID iD: 0000-0002-2242-8185
6th year student of the Faculty of General Medicine
Russian Federation, 344022, Rostov-on-Don, Nakhichevan lane, 29.References
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