अमूर्त

Placenta Accreta Spectrum Disorder (PAS): Challenge that demands team work and anticipation, a clinical case report

Javier Enrique Oviedo Venerio*, Giblin Gary, Torrez Magdaly

Diagnosis and treatment of placental accreta is a real challenge especially in countries with limited resources. The successful outcome depends on prenatal diagnosis and preparation for childbirth. We describe our experience with 5 cases in the HEODRA School Hospital, Leon Nicaragua. All case with the same risk factors as placenta Previa and history of previous caesarean section. In one patient with two curettage story. These two variables carry high suspicion. The origin of the global problem is the high caesarean section rate. According to hospitals, the rate of cesarean sections in Nicaragua ranges between 30 and 45 percent, being considered as the origin of the problem of placental accreta. The risk of placental accreta with placenta Previa increases in relation to the number of caesarean sections. It reaches up to 40 percent in patients with two previous C. section. Although Institutional Norm is to perform the caesarean section at 35 weeks in case of placental accrete, in all our cases delivery was performed at 37 weeks, we consider late prenatal diagnosis.