Journal Critiquing

REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
__________________________________________________________________________________
CENTER OF NURSING
Name: Jhyane Kyla C. Trilles OB WARD DUTY

Section: 2-AN Prof. L.C. Domingo
Journal Critiquing
Abstract
Placenta percreta is one of the most serious complications of placenta previa and
is frequently associated with severe obstetric hemorrhage usually necessitating
hysterectomy. We present a case of placenta previa percreta diagnosed by ultrasound
and magnetic resonance imaging techniques, in which we accomplished conservative
management of postpartum hemorrhage. The management we propose includes the
following steps: preventive catheterization of the descending aorta via trans humeral
access; Stark cesarean delivery; uterotonics drugs; Affronti endouterine square
hemostatic sutures; intrauterine application of Bakri balloon and partial filling with 100 mL
of normal saline; B Lynch suture, hysterorrhaphy, and filling a Bakri balloon with up to
500 mL of normal saline; reversible radiological embolization; and/or surgical ligation of
the uterine arteries. The bleeding stopped following placement of Affronti sutures
combined with external (B-Lynch suture) and internal (Bakri balloon) uterine compression.
Our experience indicates that this conservative method can be considered an option in
the management of selected cases of pregnancy at high risk for intrapartum hemorrhage.
Link of the article: Canonico, S. (2013, January 17). Placenta Previa Percreta: A Case
Report of Successful Management via Conservative Surgery. Hindawi.
https://www.hindawi.com/journals/criog/2013/702067/
City of Makati
__________________________________________________________________________________
CENTER OF NURSING
Guide questions:
1. Could the study be replicated?
 Replicating a study is critical for certain good research since it allows other
researchers to test the study's conclusions. If the case can be replicated,
any erroneous conclusions will eventually be exposed. The case study I
studied offers a good strategy for diagnosing and treating issues with
nursing involvement. Since the patient's case report illustrates how placenta
previa/placenta percreta were diagnosed and handled, the researchers
presented an actual finding that can be difficult to reproduce. They initially
diagnosed the problem using the same methods used by other healthcare
providers and facilities to detect placenta previa.
2. Does the study, or could you, make any suggestions on how this research could
be taken care further?
 When I was studying placenta previa, I came across an article that stated
that having a boy as a child is one of the rarer causes of placenta previa.
However, I read in another article that having a girl as a child can increase
the likelihood of the aforementioned issue. This piqued my interest in
continuing the case study to investigate if these concepts are true, thus this
is my recommendation.
3. How can you relate this research and its findings to your nursing practice and
patient care?
 Placenta previa is a common word for a pregnancy issue, but we don't truly
understand how it happens, which is why doing a case study is vital in our
active learning. Through these studies, I've learnt how to take a close look
at an individual patient, understand the etiology, determine the clinical
City of Makati
__________________________________________________________________________________
CENTER OF NURSING
manifestation for the patient (as every patient is different), and treat them. I
discovered that after performing a case study, my learning for nursing
practice improves since I was able to plan patient care, think of an
intervention, and gain knowledge because I was immersed in the patient.
As a result, it will assist students in making sense of knowledge in practical
settings, allowing them to connect theory to practice and developing critical
thinking abilities.
4. Consider one thing you have learn from reading this article.
 According to this case study, the three entities of placenta previa such as
accreta, increta, and percreta are diagnosed through ultrasound and
magnetic resonance images which I am familiar with. Increased maternal
and fetal morbidity results from the problem, which is primarily caused by
hemorrhage in untreated cases. As a result, in clinical obstetrical practice,
a precise and early identification of placenta previa is critical. I've also learnt
certain management techniques such as employing uterotonic medications,
uterine massage, and intrauterine packing to try to stop major hemorrhage
during a cesarean delivery in a patient who has placenta previa.

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REPUBLIC of the PHILIPPINES

Name: Jhyane Kyla C. Trilles OB WARD DUTY

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