Eficacia en el Diagnóstico de Placenta Previa Oclusiva Total en un Establecimiento de Salud de Segundo Nivel

Abstract

The incidence and prevalence is 1 in every 200 pregnancies to term, in the last 5 years has been reported at a frequency of 1/158 births. (8, 9) The diagnosis should be appropriate to reduce the morbidity and mortality associated with the table. This case report describes a patient of 42 years without personal medical history, with surgical history of caesarean section, family history parents have high blood pressure, a history gynecologists / obstetricians presents, gestas: 04 births: 01, cesareans: 01 abortions 01 , living children: 01 dead children: 01, date of last menstrual period: 07/09/2015, Gestational Age: 34 weeks LMP, antenatal 7 Ecos 3 last echo occlusive placenta previa Total reported so is transferred particularly in the service center of outpatient Gynecology Hospital Iess Ambato; where MRI is recommended to rule accretism, which reports full occlusive placenta with signs suggestive of accretism deciding admission to hospital management. The physical entrance exam is blood pressure: 160/90 mmHg, heart rate 86 bpm, respiratory rate 20 rpm; belly pregnant uterus occupied by single fetus alive, fundal height according to gestational age, fetal longitudinal, right back, head, 140LPM fetal heart rate, fetal movements present, absent uterine activity. It is performed tests Proteinuria was found 24 hours: 394.00. During his stay patient has occasional mild abdominal pain, managing pressure within normal parameters, Eco Transvaginal control is performed prior reporting total placenta occlusive subsequent implementation. It remains hospitalized completing a pregnancy 37 weeks LMP, Cesarean is performed, obtaining single fetus hemodynamically stable, lower marginal posterior placenta without the presence of placenta accreta.