Conducta obstétrica en multípara de 30 años de edad con embarazo a término más placenta previa oclusiva total.

Placenta previa is a rare pathology but it increases with the rate of cesarean sections. In placenta previa, the centimeters of insertion of the placenta towards the OCI are taken into account to decide the route of delivery. So, the loss of thickness of the basal layer of the endometrium causes the placenta to fix abnormally in the lower uterine segment. The causes of this are diverse such as trophoblastic, uterine, placental factors, advanced age, history of placenta previa, previous cesarean sections, curettage assisted reproductive technique among others. This pathology is associated with placental accrete mainly due to previous cesarean sections, in which there is a lack of the decidua basalis and a deficiency in the development of Nitabush’s membrane. The diagnosis is based on a routine abdominal ultrasound at weeks 18 and 24, and a transvaginal ultrasound at weeks 35 to 36 confirm this pathology and a Doppler ultrasound on suspecting placental accreta. It is usually characterized by painless transvaginal bleeding (hemorrhage), it usually occurs from the second half of pregnancy, involving serious complications in pregnancy such as childbirth and even death, if not managed in time. In the following research work, laboratory test, obstetric ultrasounds, diagnoses, and follow-up of the patient are reported.

• Egile nagusia: Zambrano Sevillano, Nicole Andrea (author)
• Formatua: bachelorThesis
• Argitaratua: 2021
• Gaiak: Placenta Previa; Cesáreas Anteriores; Acretismo Placentario; Complicaciones; Hemorragia; Muerte
• Sarrera elektronikoa: http://dspace.utb.edu.ec/handle/49000/10500