Successful organ-preserving delivery of a pregnant woman with placenta previa and placenta increta at 41 weeks of gestation
Umanskiy M.N., Chernobabova T.V., Evseev A.V., Baranov A.P., Berezhnaya E.V.
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.
Authors’ contributions: Baranov A.P., Berezhnaya E.V. – developing the concept and design of the study, collecting and processing the material, interpreting the data obtained, writing the text; Umanskiy M.N., Chernobabova T.V., Evseev A.V. – editing.
Conflict of interest: The authors declare no conflict of interest.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was reviewed and approved by the Research Ethics Committee of the Rostov Regional Perinatal Center, Rostov-on-Don.
Patient Consent for Publication: The patient signed an informed consent for the operation and publication of her data and associated images.
For citation: Umanskiy M.N., Chernobabova T.V., Evseev A.V., Baranov A.P., Berezhnaya E.V. Successful organ-preserving delivery of a pregnant woman with placenta previa and placenta increta at 41 weeks of gestation. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (11): 200-204 (in Russian)
https://dx.doi.org/10.18565/aig.2023.86
Keywords
placenta increta
placenta previa
metroplasty
organ-preserving operation
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Received 03.04.2023
Accepted 22.09.2023
About the Authors
Maxim N. Umanskiy, PhD, Chief Physician, Rostov Regional Perinatal Center, +7(863)235-50-18, perinatal-rost@mail.ru, 344068, Russia, Rostov-on-Don, Bodraya str., 90.Tatyana V. Chernobabova, Head of the Department of Gynecology, Rostov Regional Perinatal Center, +7(863)235-50-18, perinatal-rost@mail.ru,
344068, Russia, Rostov-on-Don, Bodraya str., 90.
Andrey V. Evseev, PhD, Head of the Operating block, Rostov Regional Perinatal Center, +7(863)235-50-18, perinatal-rost@mail.ru,
344068, Russia, Rostov-on-Don, Bodraya str., 90.
Anton P. Baranov, obstetrician-gynecologist at the Maternity Department, Rostov Regional Perinatal Center, +7(863)235-50-18, perinatal-rost@mail.ru,
344068, Russia, Rostov-on-Don, Bodraya str., 90.
Elizaveta V. Berezhnaya, 6th year student of the Faculty of General Medicine, Rostov State Medical University, Ministry of Health of Russia, +7(928)774-88-43,
liberezhnaya@yandex.ru, https://orcid.org/0000-0002-2242-8185, 344022, Russia, Rostov-on-Don, Nakhichevan lane, 29.
Corresponding author: Elizaveta V. Berezhnaya, liberezhnaya@yandex.ru
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