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Zulfiqar, Yefri
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Health Professions Medicine & Pharmacology Public Health Social Sciences

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Journal : Journal of Midwifery

 1 
Placenta Percreta With Bladder Involvement Zulfiqar, Yefri
Journal of Midwifery Vol 9, No 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.72-74.2024

Abstract

Placenta accreta spectrum (PAS) is characterized by abnormal placental invasion due to incomplete or complete loss of decidua. PAS subtypes are classified based on the depth of invasion: placenta accreta, increta, and percreta. Placenta percreta is the most severe form of placenta accreta and is characterized by invasion of the placenta through the entire myometrium reaching up to the uterine serosa. The increasing rate of placenta accrete because of increased rate of cesarean delivery. Urological complications are relatively rare in placenta accreta spectrum (PAS), but can be severe. Treatment planning must always involve a multidisciplinary team. Placenta percreta is a very high-risk obstetric condition associated with morbidity and mortality. A 32-year-old woman referred from Maternal Fetal Medicine Polyclinic with G4P2A1L2 37-38 weeks of term pregnancy + total placenta previa suspected percreta PAS 2 grade 3B S2 + once previous CS, and a CCS hysterectomy was planned. PAS with bladder involvement was significantly correlated with massive surgical blood loss. Prenatally, the disorder was predicted with high specificity by the combination of loss of chemical shift artifacts in the steady-state free precession sequence and abnormal vascularization at the uterovesical interface on USG (Ultrasonography)
Placenta Percreta with Massive Hematuria Zulfiqar, Yefri
Journal of Midwifery Vol 9, No 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.48-51.2024

Abstract

Placenta accreta spectrum disorder (PAS) is diagnosed clinically when the placenta cannot be separated from the uterus after delivery. Abnormal placentas can be classified into three different entities such as placenta accreta, increta, and percreta. Placenta percreta is rare. Bladder bleeding due to placenta percreta has a poor prognosis. The main peculiarities of our case were a history of previous cesarean section, uterine curettage for miscarriage, and multiparity. Hematuria occurred in only 5% of patients. Early detection and appropriate treatment can save the patient's life
Placenta Percreta with Massive Hematuria Zulfiqar, Yefri
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.48-51.2024

Abstract

Placenta accreta spectrum disorder (PAS) is diagnosed clinically when the placenta cannot be separated from the uterus after delivery. Abnormal placentas can be classified into three different entities such as placenta accreta, increta, and percreta. Placenta percreta is rare. Bladder bleeding due to placenta percreta has a poor prognosis. The main peculiarities of our case were a history of previous cesarean section, uterine curettage for miscarriage, and multiparity. Hematuria occurred in only 5% of patients. Early detection and appropriate treatment can save the patient's life
Placenta Percreta With Bladder Involvement Zulfiqar, Yefri
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.72-74.2024

Abstract

Placenta accreta spectrum (PAS) is characterized by abnormal placental invasion due to incomplete or complete loss of decidua. PAS subtypes are classified based on the depth of invasion: placenta accreta, increta, and percreta. Placenta percreta is the most severe form of placenta accreta and is characterized by invasion of the placenta through the entire myometrium reaching up to the uterine serosa. The increasing rate of placenta accrete because of increased rate of cesarean delivery. Urological complications are relatively rare in placenta accreta spectrum (PAS), but can be severe. Treatment planning must always involve a multidisciplinary team. Placenta percreta is a very high-risk obstetric condition associated with morbidity and mortality. A 32-year-old woman referred from Maternal Fetal Medicine Polyclinic with G4P2A1L2 37-38 weeks of term pregnancy + total placenta previa suspected percreta PAS 2 grade 3B S2 + once previous CS, and a CCS hysterectomy was planned. PAS with bladder involvement was significantly correlated with massive surgical blood loss. Prenatally, the disorder was predicted with high specificity by the combination of loss of chemical shift artifacts in the steady-state free precession sequence and abnormal vascularization at the uterovesical interface on USG (Ultrasonography)
Co-Authors Anak Agung Istri Sri Wiadnyani Etriyel Myh Wiradinata, Indra