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Placenta Accreta Disseminated Intravascular Coagulopathy
DIC: Disseminated intravascular coagulopathy (dic) is very rare outside the intensive care unit or in patients who are very sick. Dic is usually seen in patients with overwhelming infections that lead to multiple organ failure, therfore, it is typically seen in a patient with serious infection who is sick enough to required intensive care management. Patients who have dic have a very high risk of death. ...Read moreSee 1 more doctor answer
Dont do this at home: Dic is seen in patients who are seriously ill (usually due to serious infections) and who end up in the intensive care unit. The managment of dic is very complex and involve the right balance of administration of blood products and correction of the udnerlying disease that has led to the dic and should be left to physicians who are experts in intensive care. ...Read moreSee 1 more doctor answer
DIC: Disseminated intravascular coagulation (dic) is a complex systemic thrombohemorrhagic disorder involving the generation of intravascular fibrin and the consumption of procoagulants and platelets. The resultant clinical condition is characterized by intravascular coagulation and hemorrhage. ...Read more
Resorption: If placenta percreta/accreta is recognized at the time of delivery and there is no bleeding then allowing the uterus to contract and retained placenta to be excreted or absorbed later on its' own volition is a wise course. However, if there is massive uncontrollable bleeding then cesarean hysterectomy is the "default" choice. Uterine balloon "packing" can be also be tried to arrest bleeding. ...Read moreSee 2 more doctor answers
Placenta accreta: A placenta accreta develops when the placenta invades or grows into the muscular layer of the uterus. With invasion of the muscle, detachment of the placenta after birth of the infant cannot occur. Retention of the placenta can lead to a postpartum hemorrhage. To remove the placenta, the uterus is usually removed after delivery of the infant. ...Read moreSee 1 more doctor answer
Only at delivery: There are no symptoms during the pregnancy. Accreta presents with a placenta that will not detach after the infant is born. If the placenta is manually removed or removed under traction there is a great deal of bleeding, which may require surgery and possibly a hysterectomy. Accretas can sometimes be diagnosed prior to delivery via ultrasound or mri. ...Read moreSee 1 more doctor answer
Ultrasound, Doppler.: The provisional working diagnosis is achieved prenatally with history taking and a targeted ultrasound examination by an expert in the field. Mri is not generally helpful, unless the placental invasion is posteriorly. The final diagnosis is made by pathological examination of the uterus and placenta en bloc after a cesarean hysterectomy. ...Read moreSee 1 more doctor answer
Uterine scars/defect: The placenta tends to implant over pre-existing uterine scars or defects; when that occurs, the invasive nature of the placenta can lead to abnormally increased vascularity in areas without sufficient uterine muscle to control the bleeding once the placenta is delivered (particularly near the cervix). That is potentially life-threatening if undiagnosed until delivery and managed in small hospital! ...Read moreSee 1 more doctor answer
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