AI Article Synopsis
- Fetal malpresentations and malpositions, often linked to conditions like placenta previa and uterine abnormalities, are common complications in childbirth.
- The aim of the study was to demonstrate a successful method of managing focal increta placentomegaly while preserving the uterus in a first-time mother.
- The case involved the use of specific medical and surgical techniques, including sutures and a balloon, to effectively treat the condition and enhance the safety of both mother and baby during delivery.
Article Abstract
Background: Fetal malpresentations and malpositions are more common in placenta previa and uterine cavity abnormalities.
Aim: To show successful management of focal increta placentomegaly and uterine preservation in primiparous woman.
Case Report: We describe posterior low-lying focal increta placentomegaly verified during cesarean section, which is a possible risk factor for persistent posterior asynclitism and consequent mechanical dystocia. In addition to antifibrinolytics and uterotonics, hemostatic compression sutures of the posterior uterine wall were performed with an applied intrauterine balloon, and thus the uterus was preserved in primiparous woman as a definitive therapy.
Conclusion: Timely identified malplacentation as well as adequate medical and surgical measures taken by an experienced team of obstetricians and anesthesiologists can contribute to preservation of the uterus and thus the life of mother and neonate.
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| http://dx.doi.org/10.1007/s10354-021-00888-w | DOI Listing |
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