Algorithm for providing medical care to patients with placenta percreta
- Authors: Prikhodko A.M.1, Amiraslanov E.Y.1, Chuprynin V.D.1, Kan N.E.1, Baev O.R.1
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Affiliations:
- Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
- Issue: No 11 (2024)
- Pages: 200-206
- Section: Guidelines for the Practitioner
- URL: https://journals.rcsi.science/0300-9092/article/view/279277
- DOI: https://doi.org/10.18565/aig.2024.179
- ID: 279277
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Abstract
Placenta percreta is a serious obstetric complication, arising from the pathological attachment of the placenta. It is characterized by the invasion of the trophoblast beyond the basal lamina of the endometrium, into the myometrium, reaching as far as the bladder. Women with placenta percreta often experience profuse bleeding during childbirth, which leads to massive blood loss and a significant increase in the number of hysterectomies. The condition also adversely affects women’s reproductive function and poses a risk of maternal mortality. Every year, the number of cases of this pathology grows with the increasing number of caesarean sections. Timely diagnosis and competent management of pregnancy in the presence of placental percreta is critical to reduce both maternal and perinatal morbidity. The choice of appropriate obstetric tactics, from the outpatient phase to hospital discharge, can significantly improve patient outcomes.
This algorithm addresses key issues related to hospitalization, examination, treatment and medical tactics, which depend on the depth of invasion and the intraoperative period. Special attention is given to postnatal care for women with diagnosis of placenta percreta. It is important to note that a comprehensive approach to the diagnosis and treatment of this pathology, effective organization of medical care and constant monitoring of women’s condition not only reduces the risk of complications, but also improves the quality of life of patients in the future.
Conclusion: Placenta percreta is a serious life-threating condition that requires a careful and comprehensive approach to diagnosis and treatment. Effective obstetric tactics, from antenatal to postnatal care, can significantly reduce the risk of complications and improve reproductive outcomes. Continuous medical follow-up and a personalized approach are key factors in reducing maternal mortality.
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##article.viewOnOriginalSite##About the authors
Andrey M. Prikhodko
Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Author for correspondence.
Email: a_prikhodko@oparina4.ru
Dr. Med. Sci., Deputy Director for Research at the Institute of Obstetrics, Head of the Department of Innovative Development, Associate Professor at the Department of Obstetrics and Gynecology, Associate Professor of the Russian Academy of Sciences
Russian Federation, Moscow
Elrad Yu. Amiraslanov
Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: eldis@mail.ru
ORCID iD: 0000-0001-5601-1241
PhD, Head of the Obstetric Department
Russian Federation, MoscowVladimir D. Chuprynin
Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: v_chuprynin@oparina4.ru
ORCID iD: 0000-0002-2997-9019
PhD, Head of the Surgical Department
Russian Federation, MoscowNatalya E. Kan
Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: kan-med@mail.ru
ORCID iD: 0000-0001-5087-5946
Professor, Dr. Med. Sci., Deputy Director for Research
Russian Federation, MoscowOleg R. Baev
Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: o_baev@oparina4.ru
ORCID iD: 0000-0001-8572-1971
Professor, Dr. Med. Sci., Head of the Maternity Department, Professor at the Department of Obstetrics, Gynecology, Perinatology, and Reproductology
Russian Federation, MoscowReferences
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