A novel "uterine sandwich" for haemorrhage at cesarean section for placenta praevia
. AustNZJ Obstet Gynaecol.
A consultant should attend in person to any woman with eclampsia, postpartum haemorrhage (>1.5 L), a caesarean section for placenta praevia
, maternal collapse and a repeat laparotomy.
It is important to recognize and treat the problem in early stages because GDM associated complications in mother and fetus are mostly preventable.2 One of the reasons for the increase in GDM prevalence is that it does not have very obvious symptoms; however, excessive urination and fatigue, urinary tract infections (UTIs), nausea and vomiting are likely to be present.3 If it is not diagnosed and treated then gestational hyperglycemia may cause various complications to the woman such as abortion, pre-eclampsia, preterm labor, placenta praevia
, vaginal itching, UTI, puerperal sepsis, and pyelonephritis.4 The pattern of prevalence of GDM has notable regional and ethnic differences.
The caesarean section rate is increasing worldwide as there are numerous factors which contribute to decrease in vaginal birth after caesarean section and although repeat caesarean sections are associated with serious morbidity there are only a few studies which assess the risk of placenta praevia
and accreta in repeat caesarean section.
Keywords: Multiparity, Placenta praevia
, Previous caesarean section.
Obstetric complications such as miscarriage, hypertension, placenta praevia
and foetal anomalies are more common in multiple pregnancies5.
Royal College of Obstetricians and Gynaecologists (RCOG) guidelines said early diagnosis of conditions placenta praevia
and placenta accreta was vital, BBC news reported.
The most common reasons are: | Having severe pre-eclampsia or eclampsia | Having a low-lying placenta, called placenta praevia
| Having a medical condition such as heart disease or diabetes | Your baby presenting in a breech position, where they come out bottom first | Your baby not growing as expected | Having twins or triplets Similarly, there are all sorts of reasons why you might need an emergency caesarean section.
Palacios-Jaraquemada, "Caesarean section in cases of placenta praevia
and accreta," Best Practice & Research Clinical Obstetrics & Gynaecology, vol.
Occlusion of upper genital tract following lower segment cesarean section for placenta praevia
. Sultan Qaboos Univ Med J 2008;8(2):215-218
Frequent risk factors were previous caesarean section in 44 women (47.0%), antenatal anaemia (21/83 with haemoglobin results; 25.3%), pregnancy-induced hypertension (26/91; 28.6%), placenta praevia
(7/93; 7.5%) and abruptio placentae (21/93; 22.6%).