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UAMS doctors use new method to slow down bleeding in high risk pregnancies

UAMS reboa pic.JPG

This year UAMS doctors began using a new method called the Reboa Procedure in high risk pregnancies for a condition where a woman’s placenta abnormally attaches to other parts of the body. It’s called Morbidly Adherent Placenta.

“The risk of bleeding is substantial in those cases and so our goal is to decrease those risks: the risk of blood loss and the risk of a need for blood transfusion,” said Dr. Adam Sandlin, an Obstetrician and Gynecologist for UAMS.

The device is placed inside the aorta to slow down bleeding. Its creation was inspired by two military doctors who found it could save more lives on the battlefield, working essentially as an internal tourniquet. It received FDA clearance in 2015.

Missouri resident Angela Hall was among the first patients in Arkansas to have this procedure. She came to UAMS after she experienced bleeding halfway through her pregnancy and went to a local hospital in Rogers, AR.

“They told me I had placenta previa and that it was pretty serious. They recommend I come down here because of the large blood bank and the specialists involved,” Hall explained.

“We were able to make the diagnosis. Our goal is to always identify so that we can be prepared and plan and coordinate them,” said Dr. Sandlin.

Working with trauma surgeon, Dr. JR Taylor, and a special team of anesthesiologists and neonatologists, each individual has a special role during the operation which ends as planned with a healthy mother and brand new baby girl.

“I’m grateful for Dr. Sandlin and Dr. Taylor for the care they took of me. I knew he was one of the best doctors around to do the procedure beforehand. I’m glad I got to be here and survive,” Hall said.

Hall was in the hospital eight days after her delivery. Baby Alice stayed in the NICU for three and a half weeks before the two were reunited with dad and five older siblings earlier this month.

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