Acretismo placentario importancia del diagnóstico oportuno

Placental acretism is a pathology typical of gestation, a catastrophic alteration in Obstetrics. Currently, the use of early diagnostic methods such as Doppler ultrasound, serum markers, and magnetic resonance imaging help to decrease maternal and fetal morbidity. The World Health Organization recently called it a new pandemic directly related to patients with two or more caesarean sections. In Ecuador, the rate caesarean section is high and therefore the diagnosis of placental accretism has increased. Its first clinical manifestation is postpartum hemorrhage, sometimes accompanied by signs such as tachycardia, hypotension and episodes of anemia. The main treatment is total obstetric hysterectomy, due to its frequent association with placenta previa and previous caesarean section scars. This procedure is a challenge to the surgical skills of the obstetrician, so it is necessary to know other treatment alternatives. The little collaboration of the patients, that in some cases is because to present epidemiological characteristics such as, low schooling that leads them to have fewer prenatal checkups than is advisable or sometimes no checkups makes it difficult to get an early diagnosis. There are some factors such as placental retention, placenta previa, multiparity, history, uterine curettage among others.

• Main Author: Simon Troya, Jomally Lisbeth (author)
• Format: bachelorThesis
• Published: 2020
• Subjects: Acretismo placentario; Mortalidad materna; Hemorragia posparto; Histerectomía; Diagnóstico oportuno
• Online Access: http://dspace.utb.edu.ec/handle/49000/8419