Successful organ-preserving delivery of a pregnant woman with placenta previa and placenta increta at 41 weeks of gestation

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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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作者简介

Maxim Umanskiy

Rostov Regional Perinatal Center

Email: perinatal-rost@mail.ru

PhD, Chief Physician

俄罗斯联邦, 344068, Rostov-on-Don, Bodraya str., 90

Tatyana Chernobabova

Rostov Regional Perinatal Center

Email: perinatal-rost@mail.ru

Head of the Department of Gynecology

俄罗斯联邦, 344068, Rostov-on-Don, Bodraya str., 90

Andrey Evseev

Rostov Regional Perinatal Center

Email: perinatal-rost@mail.ru

PhD, Head of the Operating block

俄罗斯联邦, 344068, Rostov-on-Don, Bodraya str., 90

Anton Baranov

Rostov Regional Perinatal Center

Email: perinatal-rost@mail.ru

obstetrician-gynecologist at the Maternity Department

俄罗斯联邦, 344068, Rostov-on-Don, Bodraya str., 90

Elizaveta Berezhnaya

Rostov State Medical University, Ministry of Health of Russia

编辑信件的主要联系方式.
Email: liberezhnaya@yandex.ru
ORCID iD: 0000-0002-2242-8185

6th year student of the Faculty of General Medicine

俄罗斯联邦, 344022, Rostov-on-Don, Nakhichevan lane, 29.

参考

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