Conservative management in puerperal hemorrhage due to placenta accreta

Descripción del Articulo

The placenta accreta spectrum is on the rise due to multiple causes, especially theincrease in cesarean sections. Diagnosis is challenging, as most are associated withhemorrhage after delivery. Prenatal morphologic ultrasonography should evaluatefor signs of suspected placental accreta. We present t...

Descripción completa

Detalles Bibliográficos
Autores: Martínez Ramón, Gloria Paz, González Sevilla, Alba, García Fernández, José Félix, Cortés Antolín, Maite, Gutiérrez Landaluce, Andrea, Román Maseres, María
Formato: artículo
Fecha de Publicación:2024
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Lenguaje:español
inglés
OAI Identifier:oai:ginecologiayobstetricia.pe:article/2611
Enlace del recurso:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2611
Nivel de acceso:acceso abierto
Materia:Placenta accreta
Conservative treatment
Tratamiento conservador
id REVSPOG_52e15d42416b5f9c9d03d7eb63e73880
oai_identifier_str oai:ginecologiayobstetricia.pe:article/2611
network_acronym_str REVSPOG
network_name_str Revista Peruana de Ginecología y Obstetricia
repository_id_str .
spelling Conservative management in puerperal hemorrhage due to placenta accretaManejo conservador en hemorragia puerperal por placenta acretaMartínez Ramón, Gloria Paz González Sevilla, Alba García Fernández, José Félix Cortés Antolín, Maite Gutiérrez Landaluce, Andrea Román Maseres, María Placenta accretaConservative treatmentPlacenta accretaTratamiento conservadorThe placenta accreta spectrum is on the rise due to multiple causes, especially theincrease in cesarean sections. Diagnosis is challenging, as most are associated withhemorrhage after delivery. Prenatal morphologic ultrasonography should evaluatefor signs of suspected placental accreta. We present the case of a patient diagnosedwith placenta accreta after abundant puerperal hemorrhage 48 hours after delivery,which required two uterine curettages and the administration of intramuscularmethotrexate. As for treatment, although previously radical management waschosen, the current trend is conservative management in order to preserve thepatient's fertility.El espectro placenta acreta se encuentra en incremento debido a múltiplescausas, especialmente por el aumento de las cesáreas. El diagnóstico supone unreto, pues la mayoría de casos se asocia a hemorragia tras el alumbramiento. Laecografía morfológica prenatal debe valorar signos que hagan sospechar acretismoplacentario. Se presenta el caso de una paciente diagnosticada de placenta acretaluego de abundante hemorragia puerperal 48 horas después del alumbramiento querequirió dos legrados uterinos y la administración de metotrexato intramuscular. Encuanto al tratamiento, aunque anteriormente se optaba por el manejo radical, latendencia actual es un manejo conservador con el fin de preservar la fertilidad dela paciente.Sociedad Peruana de Obstetricia y Ginecología2024-04-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://ginecologiayobstetricia.pe/index.php/RPGO/article/view/261110.31403/rpgo.v70i2611The Peruvian Journal of Gynecology and Obstetrics ; Vol. 70 No. 1 (2024)Revista Peruana de Ginecología y Obstetricia; Vol. 70 Núm. 1 (2024)2304-51322304-5124reponame:Revista Peruana de Ginecología y Obstetriciainstname:Sociedad Peruana de Obstetricia y Ginecologíainstacron:SPOGspaenghttps://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2611/2878https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2611/2879Derechos de autor 2024 José Pacheco Romerohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:ginecologiayobstetricia.pe:article/26112026-01-12T15:19:13Z
dc.title.none.fl_str_mv Conservative management in puerperal hemorrhage due to placenta accreta
Manejo conservador en hemorragia puerperal por placenta acreta
title Conservative management in puerperal hemorrhage due to placenta accreta
spellingShingle Conservative management in puerperal hemorrhage due to placenta accreta
Martínez Ramón, Gloria Paz
Placenta accreta
Conservative treatment
Placenta accreta
Tratamiento conservador
title_short Conservative management in puerperal hemorrhage due to placenta accreta
title_full Conservative management in puerperal hemorrhage due to placenta accreta
title_fullStr Conservative management in puerperal hemorrhage due to placenta accreta
title_full_unstemmed Conservative management in puerperal hemorrhage due to placenta accreta
title_sort Conservative management in puerperal hemorrhage due to placenta accreta
dc.creator.none.fl_str_mv Martínez Ramón, Gloria Paz
González Sevilla, Alba
García Fernández, José Félix
Cortés Antolín, Maite
Gutiérrez Landaluce, Andrea
Román Maseres, María
author Martínez Ramón, Gloria Paz
author_facet Martínez Ramón, Gloria Paz
González Sevilla, Alba
García Fernández, José Félix
Cortés Antolín, Maite
Gutiérrez Landaluce, Andrea
Román Maseres, María
author_role author
author2 González Sevilla, Alba
García Fernández, José Félix
Cortés Antolín, Maite
Gutiérrez Landaluce, Andrea
Román Maseres, María
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Placenta accreta
Conservative treatment
Placenta accreta
Tratamiento conservador
topic Placenta accreta
Conservative treatment
Placenta accreta
Tratamiento conservador
description The placenta accreta spectrum is on the rise due to multiple causes, especially theincrease in cesarean sections. Diagnosis is challenging, as most are associated withhemorrhage after delivery. Prenatal morphologic ultrasonography should evaluatefor signs of suspected placental accreta. We present the case of a patient diagnosedwith placenta accreta after abundant puerperal hemorrhage 48 hours after delivery,which required two uterine curettages and the administration of intramuscularmethotrexate. As for treatment, although previously radical management waschosen, the current trend is conservative management in order to preserve thepatient's fertility.
publishDate 2024
dc.date.none.fl_str_mv 2024-04-03
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2611
10.31403/rpgo.v70i2611
url https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2611
identifier_str_mv 10.31403/rpgo.v70i2611
dc.language.none.fl_str_mv spa
eng
language spa
eng
dc.relation.none.fl_str_mv https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2611/2878
https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2611/2879
dc.rights.none.fl_str_mv Derechos de autor 2024 José Pacheco Romero
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2024 José Pacheco Romero
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
dc.source.none.fl_str_mv The Peruvian Journal of Gynecology and Obstetrics ; Vol. 70 No. 1 (2024)
Revista Peruana de Ginecología y Obstetricia; Vol. 70 Núm. 1 (2024)
2304-5132
2304-5124
reponame:Revista Peruana de Ginecología y Obstetricia
instname:Sociedad Peruana de Obstetricia y Ginecología
instacron:SPOG
instname_str Sociedad Peruana de Obstetricia y Ginecología
instacron_str SPOG
institution SPOG
reponame_str Revista Peruana de Ginecología y Obstetricia
collection Revista Peruana de Ginecología y Obstetricia
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1868078738577555456
score 13.411838
Conservative management in puerperal hemorrhage due to placenta accreta
Nota importante:
La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).

Ejemplares Similares