ABSTRACT
Previous Caesarean section (SC) is considered to be established predisposing factor for abnormal placentation. In this study we examined whether prior SC is a risk factor for low laying placenta. Retrospective documentation was studied of 171 pregnant women after a SC (test group) and of 150 pregnant women after a normal birth (control), and cases of hysterectomy after giving birth to five years. Pathological lying placenta have established at 1.34% in the test group versus 0.67% in controls (p - 0.058), i.e. no proven link between prior Cesarean section and location of the placenta in the lower uterine segment during the next pregnancy. The analysis of cases of postpartum hysterectomy is found that the combination of condition after Cesarean section, placenta praevia and placenta accreta is a risk factor for hysterectomy after childbirth.
Subject(s)
Cesarean Section/adverse effects , Placenta Accreta/pathology , Placenta Previa/pathology , Placenta/pathology , Female , Humans , Hysterectomy , Placenta Accreta/etiology , Placenta Previa/etiology , Pregnancy , Retrospective Studies , Risk FactorsABSTRACT
This is the clinical case of a primiparous eight month pregnant female, presenting with symptoms of pregnancy-induced acute haemolytic anaemia (haemolytic aneamia provoked by an immune mechanism, intra- and extra-erythrocyte defects, and HELLP syndrome were excluded). The anaemia progressed to become life-threatening for both the pregnant women and the foetus, which brought the following questions into consideration: diagnosis of anaemia during pregnancy; dosing of corticosteroid therapy; possibility of giving birth to a viable foetus and prognosis for next pregnancies. Owing to the inter-disciplinary efforts, the life and health of this pregnant woman were preserved, but the foetus was lost.
