Open AccessTotal Placenta Previa with High-risk MAP and Transverse Lie Fetal Position
Author(s) -
Raden Theodorus Soepraptomo,
Fitri Senny Hapsari,
Teddy Wijaya
Publication year - 2021
Publication title -
journal of anesthesiology and clinical research
Language(s) - English
Resource type - Journals
ISSN - 2745-9497
DOI - 10.37275/jacr.v1i2.139
Subject(s) - medicine , placenta previa , placenta accreta , obstetrics , hellp syndrome , coagulopathy , respiratory distress , pregnancy , placenta , fetus , surgery , genetics , preeclampsia , biology
Placenta accreta is one of the emergency conditions and has resulted in increased mortality and morbidity of pregnant women due to the massive obstetric hemorrhage. Placenta accreta can lead to secondary complications including coagulopathy, multisystem organ failure, acute respiratory distress syndrome, need for repeat surgery, and death. Assessment by anesthesia should be carried out as early as possible before surgery to reduce or even eliminate morbidity and mortality. In this report, we present the case of a patient with total placenta previa and high-risk MAP score with a transverse lie fetal position. The various anesthetic treatments and transfusion strategies are discussed with a multidisciplinary approach to delivery.