| Autor: |
Zahoor Hussain Daraz, Berkheez Shabir |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
World Journal of Current Medical and Pharmaceutical Research. :178-180 |
| ISSN: |
2582-0222 |
| DOI: |
10.37022/wjcmpr.2020.2217 |
| Popis: |
The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades due to increase in cesarean deliveries, resulting in increase in cesarean hysterectomies , maternal mortality and morbidity but since last few years there has been a gradual shift towards the idea of conservative management. Conservative management of PAS is known to reduce major obstetric hemorrhage and salvage hysterectomy. We present a case of placenta accreta diagnosed by ultrasound where management of post-partum hemorrhage was accomplished by conservative surgery. The concise steps taken in management of placenta accreta before and during cesarean section were: Availability of 4 donors with cross match; Stark cesarean section; atraumatic clamps around uterine arteries; ureterotonic drugs; external (B-Lynch suture); and application of diathermy where required. This experience indicates that few selected cases of PAS could be managed conservatively who are at risk of intra-partum hemorrhage and post-partum hemorrhage. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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