Publications by authors named "Paidi Naga Rachana"

Article Synopsis
  • * The bilateral ligation of the anterior division of the internal iliac arteries (IIAL) is a surgery that can help control severe bleeding while preserving fertility, primarily used for conditions like uterine atony and placenta previa.
  • * Despite its effectiveness, IIAL is not commonly performed due to a lack of training and experience among obstetricians, highlighting the need for improved education and awareness to increase its use.
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Adherent placenta means a placenta that is not delivered spontaneously or even after manual removal within 30 minutes of baby birth. It is an uncommon and frequently unanticipated event with serious potential health circumstances and it should be managed by the medical team. This case study presents a rare instance of placenta increta in a 25-year-old woman, second gravida, at 36 weeks of gestation, with a history of cesarean section 16 months prior due to chorioamnionitis.

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Peripartum hysterectomy (PH) is usually undertaken in cases of life-threatening obstetric haemorrhage to prevent the death of the mother. Obstetric haemorrhage, a leading indication for PH, is a major cause of maternal deaths globally, particularly in regions with limited access to advanced medical care. The cause of the per vaginal bleeding was due to the patient in labour with a cervical stitch, and immediate action was taken in the form of a lower segment caesarean section.

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