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Related Concept Videos

Fetal Circulation01:14

Fetal Circulation

Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...

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Related Experiment Video

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Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Published on: June 27, 2025

Placenta accreta.

D J Nizami1, R T Awasthi, S Dash

  • 1Department of Obstetrics and Gyanaecology, Manipal College of Medical Science, Pokhara, Nepal. mallicks_2000@yahoo.com

Kathmandu University Medical Journal (KUMJ)
|January 15, 2010
PubMed
Summary
This summary is machine-generated.

Total placenta accreta, a rare condition, presents management challenges due to potential severe bleeding. Early diagnosis allows for planned delivery, often involving hysterectomy or conservative management.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Total placenta accreta is a rare obstetric complication.
  • Management of placenta accreta is complex, with potential for massive hemorrhage if separation is attempted.
  • Antenatal diagnosis is crucial for planning delivery and improving outcomes.

Observation:

  • A 38-year-old woman presented with breech presentation requiring Cesarean delivery.
  • Placenta accreta was diagnosed intraoperatively during the Cesarean section.
  • The clinical scenario necessitated immediate surgical intervention.

Findings:

  • The case highlights the challenges of managing undiagnosed placenta accreta.
  • Immediate total hysterectomy was performed due to the severity of the accreta.
  • This case underscores the importance of considering placenta accreta in high-risk pregnancies.

Implications:

  • Prompt diagnosis and multidisciplinary planning are vital for managing placenta accreta.
  • Hysterectomy remains a primary treatment option for severe cases.
  • Conservative management may be considered for patients desiring future fertility, but requires careful consideration.