Placenta Accreta: Inevitable Massive Haemorrhage

Authors

  • Catarina Filipe Interna de Formação Específica em Anestesiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Teresa Lugarinho Monteiro Assistente Hospitalar, Serviço de Anestesiologia do Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Joana Carvalhas Assistente Hospitalar Graduada, Serviço de Anestesiologia do Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Emília Mártires Assistente Hospitalar Graduada Sénior, Serviço de Anestesiologia do Centro Hospitalar e Universitário de Coimbra, Coimbra Portugal

DOI:

https://doi.org/10.25751/rspa.14817

Keywords:

Placenta Accreta, Placenta Previa, Postpartum Hemorrhage

Abstract

Background: Postpartum haemorrhage is a cause of maternal morbidity and mortality. Placenta accreta is rare and usually associated with placenta praevia. We report a case of postpartum haemorrhage secondary to placenta accreta, occurred in a tertiary maternity hospital.

Case Report: Pregnant with advanced maternal age, anaemia and history of three caesarean sections was referred to Obstetrician. Her study revealed placenta praevia, with a suspicion of accretism, and normocytic normochromic anaemia. Although the anaesthetic plan was previously delineated, in the operating room occurred massive haemorrhage ending up in hysterectomy. The massive obstetric haemorrhage protocol was applied, with no more adverse events.

Discussion: Successful management of massive obstetric haemorrhage, in both the emergency and elective situation, requires team work. Early identification of risk factors is crucial, as well as the early involvement of senior professionals and the application of the institutional protocol on managing this critical event.

Downloads

Download data is not yet available.

Downloads

Published

2018-03-30

How to Cite

Filipe, C., Lugarinho Monteiro, T., Carvalhas, J., & Mártires, E. (2018). Placenta Accreta: Inevitable Massive Haemorrhage. Journal of the Portuguese Society of Anesthesiology, 27(1), 81–85. https://doi.org/10.25751/rspa.14817

Issue

Vol. 27 No. 1 (2018)

Section

Case Report

License

Articles are freely available to be read, downloaded and shared from the time of publication.

The RSPA reserves the right to commercialize the article as an integral part of the journal (in the preparation of reprints, for example). The author should accompany the submission letter with a declaration of copyright transfer for commercial purposes.

Articles are published under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC).

After publication in RSPA, authors are allowed to make their articles available in repositories of their home institutions, as long as they always mention where they were published.

Most read articles by the same author(s)