At the “Mother and Child Clinic” of the University Hospital, doctors successfully carried out a third caesarean section on a 27-year-old patient with severe placental pathology and were able to preserve her uterus.
The woman, named Angela, was giving birth for the third time. Her previous two deliveries had also ended in caesarean sections, and this pregnancy occurred less than a year and a half after the last operation. During antenatal care, she was diagnosed with complete placenta praevia.
At 36 weeks of pregnancy, the woman suddenly developed bleeding. She was urgently taken to the “Mother and Child Clinic” of the University Hospital, where a surgical team had already been prepared.
According to Yurii Burak, Head of the Department of Extragenital Pathology and Pregnancy Pathology at the “Mother and Child Clinic”, the woman had complete placenta praevia with placental accreta in the area of the previous scar on the uterus, which significantly increased the risk of massive haemorrhage. During the operation, blood loss was about 800 ml, after which the patient underwent a blood transfusion. Despite the high risks, the surgeons managed to perform an organ-preserving procedure and avoid removal of the uterus.
For Angela herself, preserving her reproductive organ was a matter of principle. She said that throughout the pregnancy she had problems due to complete placenta praevia and turned to Yurii Tadeiovych Burak, who studied her medical history in detail and prepared her for possible complications.
“I am 27 years old, this is my third delivery. It was very difficult… I was extremely anxious, because I had been told that the operation might end with the removal of my uterus. But the doctor managed to preserve it. This is incredibly important for me” — Angela
Angela’s daughter was born at 36 weeks of pregnancy. The girl weighed 2.5 kg and measured 46 cm in length. Despite the premature birth, the newborn’s condition was satisfactory: her lungs expanded, and she did not require a prolonged stay in an incubator. The baby was examined by neonatologists, who provided all the necessary care.
Doctors continue to monitor the condition of the mother and baby and note positive progress following the operation.