APH一场噩梦

APH a Nightmare

Placenta accreta is a severe obstetric complication involving an abnormally deep attachment of the placenta to the myometrium, without penetrating it.

The placenta usually detaches from the uterine wall relatively easily, but women who encounter placenta accreta during childbirth are at great risk of hemorrhage during its removal. This commonly requires surgery and in severe forms can often lead to a hysterectomy or be fatal. Hysterectomy is a common therapeutic intervention, but the results involve the loss of the uterus and the ability to conceive.

This video shares one of the cases at GMCH, Aurangabad. The patient was an emergency admission with APH and was shifted to OT for CS, but she developed lifethreatning torrential bleeding before induction of GA on OT table and landed in Obstetric hysterectomy with bilateral I I L.

Thankfully the patient had uneventful postop recovery.

I thank Dr K. S. Bhople ( Dean) and Prof. Dr Kanan Yelikar ( HOD) for continuous support and encouragement.