How a Rare Pregnancy Complication Was Defeated with Precision and Teamwork at Birthright by Rainbow Hospitals
Apr 12, 2025
A Remarkable Story of Life-Saving Care, Advanced
Technology, and Minimal Blood Loss
In a remarkable medical achievement the expert team of
doctors at Birthright by Rainbow Hospitals, Financial District, Hyderabad,
successfully managed an exceptionally rare and complicated pregnancy condition-
placenta percreta, and ensured a safe delivery with minimal blood loss and no
transfusions. This high-risk case underscores the hospital’s growing reputation
as a leading center for complex pregnancies, reaffirming every woman’s right to
a safe delivery.
The patient, a 26-year-old woman, was diagnosed with
placenta percreta, an extremely rare condition, where the placenta abnormally
attaches to the uterine wall and penetrates through it, invading nearby organs
like the bladder or bowel. Such high-risk obstetric surgery is not only
surgically challenging but also requires meticulous planning.
Placenta percreta can lead to catastrophic bleeding
during delivery, often necessitating massive blood transfusions, posing serious
risks to both mother and child. “The patient had no symptoms, and her condition
was diagnosed during a regular scan at around 30–32 weeks,” explained Dr.
Himabindu, Consultant Obstetrician, Gynecologist and Laparoscopic Surgeon at
Birthright by Rainbow Hospitals. “The ultrasound and MRI scans revealed that
the placenta had grown beyond the uterus and was firmly attached to the
bladder. The placenta was very vascular and had large blood filled lacunae.
Typically, these cases are associated with life-threatening haemorrhage, and
survival has historically been a challenge. Due to the complexity of her case,
all the hospitals the patient visited earlier refused to take her on,” she
said.
“When we met the patient and her family, we counselled
her thoroughly about the risks, complications and our plan to undertake
additional procedures to reduce the risk. We decided to deliver the baby at 35
weeks to avoid the onset of labour or an emergency bleeding situation.”
The multi-disciplinary team led by Dr Himabindu, included
Dr Srinivas and Dr Geetha, anaesthetists from Axon group; Dr Vipin Goel,
surgical oncologist and Dr Mahesh, interventional radiologist from Star
hospitals, along with highly skilled nursing staff and senior management.
To mitigate the risk, the medical team employed
interventional radiology, an advanced technique rarely used in obstetrics.
“Before we began the surgery, interventional radiologists inserted balloon
catheters into the internal iliac arteries that supply blood to the uterus,”
said Dr. Himabindu. “Once the baby was delivered using an incision from a site
away from the placenta, the balloons were inflated to block the blood flow,
dramatically reducing bleeding during the surgery. The very complex life saving
procedure took around 6 hours in total. There was no injury to bladder or any
of the surrounding organs. The total blood loss was only 500 ml that was on par
with a routine C-section and no blood transfusion was required, a rare feat in
placenta percreta cases globally. Both the mother and the child are now stable
and recovering well,” she said.
This success was made possible through meticulous
planning and coordinated efforts. “Every possible scenario was anticipated,
right from need of blood and blood products, use of lifts, need for ambulance
services, NICU care and advanced anaesthesia protocols,” Dr. Himabindu
emphasized. “It reflects the strength of a fully integrated, high-acuity
maternal care unit that Birthright by Rainbow Hospitals is proud to represent.”
Dr. Himabindu Annamraju
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon, Specialist in High Risk Pregnancy
Birthright by Rainbow Hospitals, Financial District, Hyderabad
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