2015, Number 2
Placenta accreta
Language: Spanish
References: 11
Page:
PDF size: 68.54 Kb.
ABSTRACT
Introduction: Abnormal placenta accreta is the inclusion of some or all of the placenta, whose frequency has increased in the past 60 years and is characterized by high morbidity and maternal mortality.Objective: Describe the characteristics of a case of placenta accreta.
Method: In a case of placenta accreta occurred in the Gynecobstetric Teaching Hospital of Guanabacoa in November 2013, its subsequent evolution is presented.
Results: 37 week-pregnant women has gestational diabetes and premature rupture of membrane. Cesarean is performed to diagnostic indication of fail induction. Arcuate segmental hysterotomy is made and the new born is extracted born alive. Her placenta is attached on the left horn that infiltrates the entire myometrium to the serosa, making the delivery impossible. So it was decided to perform total abdominal hysterectomy retaining ovaries. Diagnosis is confirmed with histopathologic examination. Good evolution of the patient and her newborn is observed.
Conclusion: Placenta accreta is an obstetric emergency possible to solve.
REFERENCES
1-Medina GME, Nip FOJ, Rodríguez RJC. Acretismo placentario como urgencia en el servicio de obstetricia. Presentación de casos. Hospital Territorial de Cárdenas “Julio M. Aristegui Villamil”. Rev Méd Electr [Internet] 2009 [citado 15 marzo 2014];31(6): [aprox 6 p.].Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202009/vol6%202009/tema16.htm
2- Morales CE, Monzalbo NDE, López RM, Castelazo AS. Acretismo placentario, una de las repercusiones de la obstetricia moderna. inecología y Obstetricia de México [Internet] 2013 [citado 17 marzo 2014]81(9): [aprox 7 p.]. Disponible en: http://web.a.ebscohost.com/ehost/resultsadvanced?sid=3257ef1e-2b63-4d84-b078-34c4e26
11-Ferreira NEF, Angulo CM. Predicción del acretismo placentario con ultrasonido Doppler en el Hospital Universitario de Neiva, estudio de cohorte.Rev. Colomb. Obstet. Ginecol. [Internet] 2007 [citado 12 marzo 2014,58 (4): [aprox 5 p.] Disponible en: http://extranet.who.int/hinari/es/browse_journal_titles.php?j_init=R