Saroyo Yudianto Budi, Madjid Omo Abdul, Santawi Victor Prana Andika, Scovani Laurensia, Purbadi Sigit
Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Hospital, Jakarta, DKI Jakarta, Indonesia.
Social Obstetrics and Gynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Hospital, Jakarta, DKI Jakarta, Indonesia.
SAGE Open Med Case Rep. 2023 Sep 30;11:2050313X231200121. doi: 10.1177/2050313X231200121. eCollection 2023.
Placenta previa often leads to antepartum hemorrhage, which warrants the patient for emergency room admission. The bleeding occurs mainly due to cervical dilation, which could be caused by cervical incompetence. Cervical cerclage has been considered as the primary treatment for cervical incompetence. However, evidence is lacking for its application in placenta previa. Here, we present a case of a 30-year-old pregnant woman diagnosed with complete placenta previa where a good obstetrical outcome could be achieved. The patient had antepartum hemorrhage during the 21st week of gestational age due to cervical dilation in a complete placenta previa case. An emergency cerclage using McDonald's technique was then performed, which prolonged the pregnancy to the 34th week of gestation. The patient had cesarean section and delivered a healthy baby girl weighing 2190 g. The mother and the baby had an uneventful recovery and were discharged after 2 days of hospitalization.
前置胎盘常导致产前出血，这使得患者需要急诊入院。出血主要是由于宫颈扩张引起的，而宫颈扩张可能是由宫颈机能不全导致的。宫颈环扎术一直被视为治疗宫颈机能不全的主要方法。然而，缺乏其在前置胎盘应用中的证据。在此，我们报告一例30岁的孕妇，被诊断为完全性前置胎盘，最终获得了良好的产科结局。该患者在孕21周时因完全性前置胎盘病例中的宫颈扩张而出现产前出血。随后采用麦克唐纳技术进行了急诊环扎术，将孕周延长至孕34周。患者接受了剖宫产，产下一名体重2190克的健康女婴。母婴恢复顺利，住院2天后出院。
