Manajemen Perioperatif Seksio Sesarea Pasien G2P1A0 Hamil 38 Minggu dengan Plasenta Akreta dan Plasenta Previa Totalis

  • Ratih Kumala Fajar A Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
  • Akhmad Yun Jufan Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
  • Kusuma Edhi Kuncoro Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
DOI: https://doi.org/10.22146/jka.v6i3.7359
Keywords: massive bleeding, perioperative placenta accreta, plasenta previa totalis

Abstract

Placenta accreta is becoming more common and is the most frequent indication for peripartum hysterectomy. Management of cesarean delivery in the setting of a morbidly adherent placenta has potential for massive hemorrhage, coagulopathies, and other morbidities. Anesthetic management of placenta accreta presents many challenges including optimizing surgical conditions, providing a safe maternal delivery, preparing for massive hemorrhage and transfusion, preventing coagulopathies, and optimizing postoperative pain control. Balancing these challenging goals requires meticulous preparation with a thorough preoperative evaluation of the parturient and a well-coordinated multidisciplinary approach in order to optimize outcomes for the mother and fetus.

Author Biographies

Ratih Kumala Fajar A, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Akhmad Yun Jufan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan
Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Kusuma Edhi Kuncoro, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan
Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Published
2019-11-01
How to Cite
Fajar A, R. K., Jufan, A. Y., & Kuncoro, K. E. (2019). Manajemen Perioperatif Seksio Sesarea Pasien G2P1A0 Hamil 38 Minggu dengan Plasenta Akreta dan Plasenta Previa Totalis. Jurnal Komplikasi Anestesi, 6(3), 55-64. https://doi.org/10.22146/jka.v6i3.7359
Issue
Vol 6 No 3 (2019): Volume 6 Number 3 (2019)
Section
Articles

Copyright (c) 2019 Ratih Kumala Fajar A, Akhmad Yun Jufan, Kusuma Edhi Kuncoro

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