Treatment of Placenta Accreta in Lahore Pakistan
Prof. Dr. Rehana Aamer Khan stands as a best gynecologist in Lahore and renowned for her exceptional expertise in treating complex pregnancy conditions such as placenta accreta and placenta previa. With a wealth of experience and a commitment to women health, she has earned the reputation of being the go to specialist for deliveries with conditions like placenta accrete and placenta previa in Lahore. Dr. Rehana`s holistic approach, combined with cutting edge medical knowledge, ensures comprehensive and personalized care for her patients. Her dedication to the management and treatment of placenta accreta and placenta previa makes her best gynecologist for treatment of such complex deliveries in Lahore.
What is Placenta Accreta
Placenta accreta is a serious pregnancy complication where the placenta attaches too deeply into the uterine wall, and in some cases, it may even penetrate through the uterine muscle or beyond. This condition occurs when the normal barriers between the placenta and the uterus are compromised, leading to abnormal adherence.
There are different degrees of placenta accreta:
Placenta Accreta: The placenta attaches too deeply into the uterine lining.
Placenta Increta: The placenta penetrates the uterine muscle.
Placenta Percreta: The placenta penetrates through the uterine muscle and may invade nearby organs, such as the bladder.
Placenta accreta is a potentially life threatening condition as it can lead to severe bleeding during childbirth. The risk factors for placenta accreta include a history of cesarean sections or other uterine surgeries, advanced maternal age, and conditions that affect the uterine lining.
Managing placenta accreta often requires a coordinated approach involving a team of experienced Gynecologist and sometime general surgeon as well. Prof Dr Rehana Handle such cases in routine. Treatment may involve a planned cesarean section followed by the removal of the uterus (hysterectomy) to control bleeding. Early diagnosis and careful prenatal monitoring are crucial for the management of placenta accreta to ensure the best possible outcome for both the mother and the baby.
How to Diagnose Placenta Accreta
The diagnosis of placenta accreta typically involves a combination of clinical evaluation and imaging studies. Here are common methods used for diagnosing placenta accreta:
Ultrasound: Transabdominal and transvaginal ultrasound are valuable tools in diagnosing placenta accreta. These imaging techniques can help identify abnormalities in the placental attachment, such as reduced or absent retroplacental clear space, loss of the normal hypoechoic (darker) zone between the placenta and uterine wall, or abnormal blood vessels extending into the uterine muscle.
Doppler Ultrasound: Doppler ultrasound, which assesses blood flow, may be used to detect abnormal blood vessels or increased blood flow between the placenta and uterine wall. This can be indicative of placenta accreta.
Magnetic Resonance Imaging (MRI): MRI is a powerful imaging modality that can provide detailed information about the placental attachment and its relationship with the uterine wall. It is often employed when ultrasound findings are inconclusive or when additional information is needed for surgical planning.
Color Doppler Flow Imaging: This ultrasound technique helps visualize blood flow patterns in the placenta and surrounding tissues. Abnormal blood flow patterns can suggest the presence of placenta accreta.
Invasive Diagnostic Procedures: In some cases, healthcare providers may recommend invasive diagnostic procedures, such as amniocentesis or chorionic villus sampling (CVS), to obtain a sample of amniotic fluid or placental tissue for further analysis. However, these procedures carry some risks and are generally reserved for cases where other diagnostic methods are inconclusive.
The diagnosis of placenta accreta is often made during routine prenatal care through a combination of clinical suspicion and imaging studies. Women at higher risk for placenta accreta, such as those with a history of cesarean sections or other uterine surgeries, may undergo more thorough monitoring and imaging during pregnancy.
It`s crucial for healthcare providers to carefully evaluate each case, as early detection of placenta accreta allows for proper planning and management to ensure the best possible outcomes for both the mother and the baby.
Treatment of Placenta Accreta in Lahore Pakistan
The treatment of placenta accreta typically involves careful planning and coordination among a multidisciplinary team of doctors, as it is a complex and potentially life threatening condition. Here are some common approaches to managing placenta accreta:
Prenatal Care and Diagnosis: Early detection through routine prenatal care and imaging, such as ultrasound and magnetic resonance imaging (MRI), is essential for identifying placenta accreta. An accurate diagnosis allows doctor to plan appropriate management strategies.
Multidisciplinary Team Approach: Placenta accreta is often managed by a team of specialists, including obstetricians, maternal fetal medicine specialists, radiologists, anesthesiologists, and sometimes urologists or other surgical specialists, depending on the severity and extent of invasion.
Delivery Planning: A planned cesarean section is typically recommended to minimize the risk of complications associated with the detachment of the placenta during delivery. The timing of delivery and the mode of delivery will be carefully determined based on the individual case and the gestational age of the fetus.
Blood Transfusion and Hemostatic Measures: Due to the risk of significant bleeding during delivery, blood products may be prepared in advance, and the healthcare team will be prepared to administer them if necessary. Hemostatic measures may also be taken to control bleeding during and after the delivery.
Hysterectomy: In severe cases, a hysterectomy (removal of the uterus) may be necessary to control bleeding and ensure safety of mother. This is often a challenging decision, especially if the woman desires future pregnancies, and it requires careful consideration and discussion with the patient.
Postoperative Care: Following delivery and any necessary surgical interventions, close monitoring and postoperative care are crucial. This includes observation for complications, infection prevention, and supportive care for the recovery of mother.
It is important to note that the specific approach to treating placenta accreta can vary based on the severity of the condition and individual patient factors. Prof Dr Rehana plan treatment for individual needs of patient. Arrangement of doctors, blood and any other requirement are made in advance to handle any kind of situation
What is Placenta Previa?
Placenta previa is a condition that occurs during pregnancy when the placenta partially or completely covers the cervix, the opening to the uterus. Normally placenta is attached to the upper part of the uterus, away from the cervix. However in placenta previa condition placenta is situated in the lower part of the uterus, either partially or entirely covering the cervix.
There are different types of placenta previa based on the extent of coverage:
Complete Placenta Previa: The placenta completely covers the cervix, blocking the cervical opening.
Partial Placenta Previa: The placenta partially covers the cervix, leaving some space for the cervix to be uncovered.
Marginal or Low Lying Placenta Previa: The placenta is located near the edge of the cervix but doesn`t cover it. It is sometimes referred to as a low lying placenta.
Placenta previa can lead to complications during pregnancy, labor, and delivery. The condition is typically diagnosed during routine prenatal ultrasounds. Common symptoms may include painless vaginal bleeding, especially in the later stages of pregnancy. Management of placenta previa depends on the severity of the condition, the gestational age of the fetus, and the presence of any bleeding or other complications. Treatment may involve bed rest, restriction of activities, and hospitalization in more severe cases. In some instances, a cesarean section may be recommended to avoid potential complications associated with vaginal delivery, such as heavy bleeding. It is important for women diagnosed with placenta previa to receive appropriate prenatal care and follow recommendations closely to ensure the best possible outcomes for both the mother and the baby.
Prof. Dr. Rehana Aamer Khan stands as a beacon of excellence in Lahore, renowned for her expertise in managing complex obstetric cases, particularly deliveries involving placenta accreta and placenta previa. With an illustrious career marked by a commitment to women`s health, she is a go to specialist for these intricate and high risk pregnancy conditions in Lahore. In cases of placenta accreta, where the placenta abnormally attaches to the uterine wall, and placenta previa, where the placenta partially or completely covers the cervix, Dr. Rehana Aamer Khan`s extensive knowledge and skillset shine. Her comprehensive approach to prenatal care includes state of the art diagnostic techniques, such as ultrasound and MRI, ensuring accurate and early detection of these conditions. Known for her compassionate care, Dr. Rehana Aamer Khan creates a supportive environment for expectant mothers facing the challenges of placenta accreta and placenta previa. Her adeptness in developing personalized treatment plans, which may involve meticulous delivery planning and, if necessary, surgical interventions, has earned her the trust and gratitude of numerous patients. Prof. Dr. Rehana Aamer Khan is celebrated not only for her clinical proficiency but also for her dedication to advancing women`s health in Lahore. This makes her the best choice for those seeking unparalleled expertise in the management of deliveries complicated by placenta accreta and placenta previa.