Abstract:

Placenta previa (PP) is a serious obstetric complication characterized by the abnormal placement of the placenta over or near the cervical os, leading to significant risks for both the mother and foetus during pregnancy and delivery. This case study presents the intraoperative management of a patient diagnosed with placenta previa, focusing on the clinical challenges, decision-making processes, and surgical interventions employed to ensure a favourable outcome. The patient, a 26-year-old woman, G2P1L1, was diagnosed with complete placenta previa during the MRI investigation. Given the high risk of hemorrhage and potential for peripartum hysterectomy, a multidisciplinary team approach involving obstetricians, anesthesiologists, and neonatologists was adopted. This case study highlights the importance of meticulous preoperative planning, intraoperative vigilance, and postoperative care in managing placenta previa, emphasizing strategies to minimize maternal and foetal morbidity. Through this detailed examination, this study aims to contribute to the literature on best practices for the intraoperative management of placenta previa, providing insights that can inform clinical practice and improve patient outcomes. This abstract provides a concise overview of the case study, emphasizing the key aspects of intraoperative management and its importance in handling placenta previa through radiologic interventions, such as uterine artery embolization and transcatheter arterial balloon occlusion, which play a key role in advanced anaesthetic management.

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