Case Study: Placenta Previa, Accreta, Hypertension, and Anemia in Pregnant Women at 35-36 Weeks Gestation with Previous Cesarean Section
Keywords:Total placenta previa, Placenta accreta, Gestational hypertension, Anemia
Placenta accreta is a rare but serious pregnancy complication where the placenta attaches abnormally in the uterus. It affects around 0.9% of pregnancies and is linked to risks like placenta previa and prior C-sections, with its incidence rising due to increased C-section rates. Prompt diagnosis is essential as it contributes to 7-10% of global maternal deaths. This case study involves a 39-year-old pregnant woman at 35-36 weeks with placenta previa and suspected accreta. Vaginal bleeding and pain raised concerns. Anemia and gestational hypertension further complicated matters. Ultrasound and MRI confirmed total placenta previa and suspected accreta, with a PAI score of 4. A cesarean section and supravaginal hysterectomy successfully managed the situation. FIGO grade II placenta accreta was found. Early detection and management are key for neonatal maturity and maternal safety.Imaging and risk factor identification and diagnosis. Multidisciplinary teamwork among obstetricians, radiologists, and specialists is crucial. This case underscores diagnosing and managing placenta accreta, using imaging and teamwork for optimal outcomes. It highlights the importance of addressing abnormal placental conditions, emphasizing accurate diagnosis, and a collaborative approach for effective management. This case underscores the urgent need for early diagnosis, multidisciplinary management, and advanced imaging techniques to address the life-threatening complexities of placenta accreta, emphasizing the crucial role of collaboration among specialists, identification of risk factors, and timely interventions, especially with rising C-section rates, to enhance outcomes and minimize maternal and fetal risks.
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