Chulalongkorn Medical Journal


We report a case of 34 years old healthy pregnant female scheduled for elective cesarean hysterectomy due to previous cesarean section with placenta previa totalis and suspected placenta accrete with transverse lie. We anesthesized this patient with regional anesthesia in combination with general anesthesia due to regional anesthesia wore off. Massive bleeding during the operation was resuscitated. Co-ordination within the teamwork is necessary. At end of the operation, the mother and her newborn were safe without significant complication.



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