Скачать или смотреть Managing High-Risk Pregnancy: Placenta Previa, Accreta, and Percreta | Dr Anjali Kumar | CKBH

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A recent case at CK Birla Hospital, Gurgaon illustrates the complexity and success of managing such high-risk pregnancies. A patient, who had previously undergone a C-section for her first birth, was diagnosed with placenta previa in the fifth month of her second pregnancy. By the subsequent month, the condition had aggravated to placenta accreta, and by advanced pregnancy, it had progressed to placenta percreta.
Despite consultations with other doctors who had concerns over the mother's life due to the complications, she sought treatment at CKBH.
Here, a comprehensive treatment and surgical plan was developed, leading to a successful outcome.

What are Placenta Previa, Accreta, and Percreta?
Placenta previa, placenta accreta, and placenta percreta are conditions that involve abnormal placement and attachment of the placenta within the uterus, making the pregnancy high-risk.

Placenta Previa: In placenta previa, the placenta partially or completely covers the cervix, which can lead to severe bleeding during pregnancy and delivery.

Placenta Accreta: This occurs when the placenta attaches itself too deeply into the uterine wall but does not penetrate the muscle. This can cause complications during delivery as the placenta does not detach properly.

Placenta Percreta: The most severe form, where the placenta penetrates through the uterine wall and can attach to other organs like the bladder. This can cause severe bleeding and requires complex surgical intervention during delivery.

What are the steps in Managing the Condition?
Early Diagnosis and Monitoring: Regular ultrasounds and prenatal visits are crucial for early diagnosis and monitoring of the progression of these conditions. Early detection allows for better planning and management of potential complications.

Specialised Care: High-risk pregnancies, especially those involving placenta issues, should be managed by a team of specialists, including obstetricians, maternal-fetal medicine experts, and surgeons. A multidisciplinary approach ensures comprehensive care.

Hospitalisation and Bed Rest: In severe cases like this, hospitalisation is required to manage bleeding and reduce the risk of premature labour. Bed rest may also be recommended to minimise the chances of bleeding.

Medications: Medications such as corticosteroids may be administered to accelerate fetal lung development if there is a risk of premature birth. Blood transfusions may also be necessary to manage severe bleeding.

Planned Delivery: Delivery plans for women with placenta accreta or percreta often involve a scheduled caesarean section (C-section) before labour begins. This reduces the risk of uncontrolled bleeding and other complications. In severe cases, a hysterectomy (removal of the uterus) may be required to control bleeding and remove the placenta.

Postpartum Care: Intensive monitoring and care continue postpartum to manage any potential complications and ensure the health and safety of both mother and baby. This includes managing any bleeding and monitoring for infections.

Managing high-risk pregnancies involving placenta previa, accreta, or percreta requires specialised care and meticulous planning. Early diagnosis, regular monitoring, and a multidisciplinary approach are essential to ensure the best possible outcomes for both the mother and the baby. This particular case underscores the importance of seeking expert care in managing such complex conditions. Thanks to the expert team at CKBH, under the supervision of Dr Anjali Kumar, the patient is now healthy and happy, and the complications that once seemed insurmountable were effectively managed, proving that with the right medical intervention and care, high-risk pregnancies can have successful outcomes.

Watch the video where our #happyparents Veena shares their story of welcoming her baby under the supervision and care of Dr. Anjali Kumar & her team at the CK Birla Hospital, Gurugram.

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