Clinical application of stage operation in patients with placenta accreta after previous caesarean section
| Autor: | Yuelan Liu, Weishe Zhang, Qiaozhen Peng |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty China Placenta accreta medicine.medical_treatment Blood Loss Surgical Observational Study conservative treatment placenta accreta Gestational Age Hysterectomy Dilatation and Curettage 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Caesarean section 030212 general & internal medicine Prospective Studies reproductive and urinary physiology Retrospective Studies Late Postpartum Hemorrhage 030219 obstetrics & reproductive medicine postpartum bleeding business.industry Obstetrics Cesarean Section Postpartum Hemorrhage Uterus Gestational age Ultrasonography Doppler General Medicine medicine.disease Magnetic Resonance Imaging Curettage Menstruation part of placenta in situ Female business stage operation Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | To explore the clinical value of stage operation to patients with placenta accreta after previous caesarean section (CS). Nineteen women with medium and late pregnancies diagnosed with placenta accreta after previous CS were enrolled in this retrospective study and all underwent stage operation. Postpartum hemorrhage volume, red blood cells (RBC) transfusion, uterus retention rate, postpartum complications, and menstrual recovery were analyzed to evaluate the value of stage operation in patients with placenta accreta. Four of 19 cases were performed uterus curettage after 63, 38, 56, and 52 days of CS. Total hysterectomy was performed in 2 cases after 44 and 57 days of first-stage CS. Thirteen cases had placenta well discharged after treatment with the traditional Chinese medicine (TCM) Shenghua Decoction. The uterus retention rate was 89.48% (17/19). Mean postpartum hemorrhage volume was 1594.74 ± 1134.06 (400–4500) mL, mean volume of total hemorrhage was 1878.42 ± 1276.96 (400–4500) mL, mean RBC transfusion was 868.42 ± 816.53 (0.00–2400.00) mL. Postpartum bleeding volume showed≤1000 mL in 8 patients and ≤500 mL in 4 patients. Stage operation reduces postpartum hemorrhage volume and cesarean hysterectomy morbidity in patients with placenta accreta. However, infection and late postpartum hemorrhage should be monitored closely. |
| Databáze: | OpenAIRE |
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