Delivery in a patient with pregnancy induced by an assisted reproductive technology (Surrogacy) program and with placenta increta

Aleksandr V. Shaklein, Alla N. Drobinskaya, Sofya F. Delsuz, Ilya M. Davydov, Natalya M. Pasman, Anastasia A. Stepanova, Aleksandra V. Kolesnikova, Evgeniya V. Bystrova

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Placenta increta is a relevant problem of contemporary obstetrics. Over the past decade, the rate of this abnormality has increased by 50 times. The importance of the problem is increasing due to massive bleeding, in which the maternal mortality rate is as much as 7%. Placenta increta is one of the most severe abnormalities resulting from the partial or complete absence of the spongy layer of the decidua due to endometrial atrophic processes. Case report. The article describes a clinical case of a patient with pregnancy induced by an assisted reproductive technology (surrogacy) program and placenta increta. It describes in detail the mechanisms of pathogenesis, as well as delivery methods for abnormal placental invasion. Conclusion. The given clinical case is a demonstration of successfully applying a team approach during delivery in a woman with placenta increta: the introduction of current diagnostic and therapeutic blood-saving technologies and a surgical delivery method that does not require an additional uterine incision.

Translated title of the contributionРодоразрешение пациентки с индуцированной беременностью в программе ВРТ (суррогатное материнство) и врастанием плаценты
Original languageEnglish
Pages (from-to)181-185
Number of pages5
JournalAkusherstvo i Ginekologiya (Russian Federation)
Volume2020
Issue number5
DOIs
Publication statusPublished - 1 May 2020

Keywords

  • Cesarean section
  • Endometrial dystrophic changes
  • Endovascular balloon occlusion of the common iliac arteries
  • Placenta increta

State classification of scientific and technological information

  • 76 MEDICINE AND HEALTH CARE

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