| Summary: | Placenta previa is characterized by the abnormal placenta overlying the endocervical os. It is one of the
most feared adverse maternal and fetal-neonatal complications in obstetrics.
The condition is frequently complicated by placenta accreta or increta. Women with placenta previa have
often an increased risk of postpartum hemorrhage. The risk factors for placenta accreta are previous
uterine surgery, as cesarean sections (CS)., dilatation, curettage, the advanced maternal age, multiparity
etc.
A 31-year-old woman, P.T.S., who went in for delivery with moderate bleeding from the genitals and
regular labor. Childbirth with cesarean section was performed (C.S), because of intrapartum asphyxia of
the fetus. A female fetus was born, weighing 3270 g. Finding that the placenta is located on the posterior
uterine wall and descends to the cervical canal. Immediately after CS, profuse bleeding from the uterus
begins. After a control revision of the uterine cavity, cervical placenta was established. An emergency
total hysterectomy without the adnexa was performed. It must be known that any bleeding during the
third trimester of pregnancy, low blood counts and worsening general conditions of the woman should be
considered as a warning of possible placenta previa isthmicocervicalis.
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