Save the Uterus
| Autor: | Manavita Mahajan, Pankaj Saini, Ashutosh Gupta, Anjila Aneja, Neena Bahl, Sanjay Mehta |
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| Rok vydání: | 2014 |
| Předmět: |
Pregnancy
medicine.medical_specialty Hysterectomy Placenta accreta business.industry Obstetrics medicine.medical_treatment Uterus Reproductive medicine medicine.disease medicine.anatomical_structure Modeling and Simulation medicine Emergency cesarean hysterectomy business reproductive and urinary physiology Expectant management Third stage |
| Zdroj: | Journal of Fetal Medicine. 1:181-185 |
| ISSN: | 2348-8859 2348-1153 |
| DOI: | 10.1007/s40556-015-0030-6 |
| Popis: | With ever increasing rates of cesarean section, the incidence of placenta accreta has multiplied manifold and is bound to increase even further. Appropriate management of placenta accreta is multidisciplinary requiring planning beforehand and has backup strategies for any unanticipated complications. Suspecting and establishing the diagnosis of accreta changes the course of management from a major emergency operative endeavor to expectant therapy. Identifying placenta accreta in pregnancy raises a red flag for life-threatening complications at the time of delivery as diagnosing accreta in the third stage of labor can be catastrophic and might require multiple blood transfusions, ureteral injuries, cystotomy, and infectious complications with emergency cesarean hysterectomy. Expectant management with methotrexate helps in tiding over the life-threatening complications and preventing hysterectomy, thus, SAVING the uterus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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