If you are assured that the most correct decision to terminate a pregnancy is to seek a second opinion. Sometimes it helps to save a whole life – the life of an unborn baby. This was the case with our patient.
A 43-year-old woman contacted the EMC for consultation and resolution of the issue of delivery.
The patient had a third pregnancy, but was about to have a second birth. The first pregnancy was undeveloped. The second ended with an operative delivery with the removal of a myomatous node in the area of the lower uterine segment.
The third pregnancy occurred 6 months after giving birth. Maria and her husband were happy to learn that they were expecting a baby girl. However, the pregnancy was difficult. Doctors in his hometown recommended aborting the pregnancy: it came too early after the first birth and the chorion was located in the scar area after cesarean section – there was a risk of placenta regrowth. The family did not want to put up with such a difficult decision. And the couple turned to the EMC Perinatal Center for help.
Placental overgrowth is a serious complication of pregnancy, in which the vessels of the placenta grow into the muscular layer of the uterus and even the wall of the bladder. In most cases, placenta accreta is diagnosed in patients who have undergone cesarean section surgery!
The doctors performed all the necessary examinations, including ultrasound of the scar with Dopplerometry, and MRI of the scar to assess the degree of ingrowth. The diagnosis of placenta previa and ingrowth of the placenta into the scar after CS was confirmed.
Based on the results of the survey, a consultation was held consisting of all the necessary EMC specialists. The experts concluded that with certain patient management tactics and extremely careful monitoring, it is absolutely possible to carry out a successful delivery. A team of obstetricians, vascular surgeons, anesthesiologists, and transfusiologists was ready to begin surgery at any time. She was scheduled for 36 weeks, but labor began 4 days earlier. Thanks to the individual approach to each of our patients and the round-the-clock readiness of the team, the pregnant woman was ready for an urgent delivery in a matter of minutes after hospitalization.
The patient underwent a low-median laparotomy, clipping (clamping) of the internal iliac arteries, bottom caesarean section, metroplasty (uterine plastic surgery), balloon tamponade of the uterus (intrauterine injection of a special balloon that creates compression of the uterus from the inside and minimizes the risk of bleeding in the postoperative period), hardware reinfusion of autofluid (transfusion of own blood during surgery from an operating wound, using special equipment).
The parents were infinitely happy – a healthy girl was born, 7/8 points on the Apgar scale, weight 2865.
The baby and her mother were discharged from the hospital in good health. The whole family is at home now. Isn't that happiness?
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