TY - JOUR AU - Ahmad, Maqsood PY - 2021/10/31 Y2 - 2024/03/29 TI - STRATEGIES FOR ANESTHESIA MANAGEMENT OF CESAREAN DELIVERIES WITH ABNORMAL PLACENTAL PLACEMENT–ANESTHETIST’S PERSPECTIVE JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 71 IS - 5 SE - Original Articles DO - 10.51253/pafmj.v71i5.5381 UR - https://pafmj.org/PAFMJ/article/view/5381 SP - 1778-81 AB - <p><strong>Objective:</strong> To discuss problems faced in the management of emergency and elective cesarean sections with known or unknown abnormal placental placement and their management.</p><p><strong>Study Design:</strong> Retrospective observational study.</p><p><strong>Place and Duration of Study:</strong> Different Hospitals for the last 7 years from 2013 to 2020.</p><p><strong>Methodology:</strong> This retrospective observational study of 120 cases was selected for data collections that underwent anesthesia. Variables under study were age, weight, type of abnormal placenta, fluid, blood/blood products given during surgery, hysterectomy done, general surgeon help required, anesthesia type, and redo of operations.</p><p><strong>Results:</strong> A total of 120 patients were operated having abnormal placentation. The frequency of placenta previa 90 (75%), and accreta was 30 (25%). Primigravida patients were 19 (15.8%) and multigravida patients were 101 (84.1%). hysterectomy was done in 28 (23.3%) patients. Spinal anesthesia was given in 50 (41%) patients while 70 (58.3%) patients have general anesthesia. The spinal anesthesia was later on converted to general anesthesia in 32 (26.6%) patients out of 50 (41%). Only 12 (10%) patients were reopened for uncontrolled bleeding and 4 (3.3%) patients were sent to tertiary care hospital for further management. The general surgeon was called for help in 24 (20%) of patients and bladder injury occurred in 25 (20.8%) patients. No mortality was found during this period.</p><p><strong>Conclusion:</strong> Abnormal placental placement is a threat to mother life as well fetus and team of dedicated doctor is required to deal with this emergency. Use of inotropes can help to save the precious lives.</p> ER -