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Hyderabad: A 32-year-old woman in an advanced stage of pregnancy, with placenta blocking the Cervix, was saved along with her pre-term baby; by a multi-specialty team at Apollo Cradle & Children’s Hospital, Jubilee Hills. The Doctors led by Dr Lakshmi Rathana M., Sr. Consultant Obstetrics & Gynecology, Apollo Cradle & Children’s Hospital; performed a complex cesarean hysterectomy, spanning over four hours, from Barkas, Hyderabad. Both the mother and the healthy female baby who needed minimal NICU support, have since recovered and been discharged.
The patient was earlier diagnosed in her fifth month of pregnancy with a perilous condition called Placenta Percreta, where placenta extends into the vagina and sides of the uterus, thereby blocking the Cervix. The Cervix is the narrow passage for the baby to pass through from the womb, at the time of delivery. The blocking of the cervix impedes the delivery of the baby, thereby immensely risking the lives of both the mother and the baby. The incidence of Placenta Percreta is about 7% in pregnant women and the mortality and morbidity of such patients could be to the extent of 3.9%. The treatment for Placenta Percreta involves either removal of uterus while keeping the placenta intact or retaining the placenta inside and awaiting for the resolution of the problem in the course of the next 3 to 4 months. This patient developed Placenta Percreta condition because of her undergoing cesarian sections for three of her previous deliveries and the best possible treatment option for her was removal of the uterus.
Cesarean hysterectomy involving removal of the uterus immediately after delivery of the baby is a potential high-risk procedure, therefore multidisciplinary intervention was necessary, besides taking all precautions to save precious lives. The vigilant and timely actions of both Anesthesia and Surgical teams could save the patient despite massive blood loss and transfusions, says Dr Lakshmi Rathna M
Prior to the surgery, the specialists took all the precautions necessary for a minimal complication and safe delivery, right from the time of detection of the complication during the twentieth week of the patient’s pregnancy. They ensured regular checkups and close supervision. The per-vaginal bleeding was controlled by serial Ultrasound and Hemoglobin levels were maintained with oral Hematinics to avoid anemia till the delivery. The patient and attenders were continuously counselled for any inheritable disorders. A team of comprising of Obstetricians, Dr Lakshmi Rathna M.; Dr Sapna, Dr Nandini; teams of Surgeons, Anesthetists, Neonates & Pediatric Team and support staff ensured the success of the surgery.
About Apollo Cradle & Children’s Hospital:
Apollo Cradle & Children’s Hospital is India’s leading specialty hospital network for Women and Children. We have a robust presence in six cities, including Hyderabad, Bangalore, Delhi NCR, Amritsar, Chennai and Pune, making it the foremost integrated Maternal and Child Healthcare Service Provider in India. Our primary objective is to provide the highest standards of clinical excellence, with personalized care for every mother and child. The relentless hard work since inception, has enabled Apollo Cradle & Children’s Hospital to win the trust of millions of women and children across India, and to ensure that both mother and baby are In Safe Hands.
Apollo Cradle & Children’s Hospital has been following all the required safety precautions throughout the pandemic to keep patients safe.
Apollo Cradle & Children’s Hospital has a network of 14 centres across India, located in Hyderabad, Bangalore, Delhi NCR, Amritsar, Chennai & Pune cities. Through its network of 14 centers, Apollo Cradle & Children’s Hospital offers Maternity and Gynecology, Fetal Medicine, Pediatrics and Neonatology services, and is on a mission to bring international standards of healthcare to every individual. We are driven by the vision of Apollo to offer healthcare of international standards in India. In a span of 38 years, over 175,000+ babies have been safely delivered through Apollo Cradle & Children’s Hospital.
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