Termination of a second-trimester pregnancy with placenta accreta spectrum disorder
| Autor: | Qi Li, Weishe Zhang, Caihong Hu, Yanhua Zhao, Chenlin Pei, Xinhua Wu, Kuilin Fei, Qiaozhen Peng, Jiejie Zhang, Jingrui Huang |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Libyan Journal of Medicine, Vol 18, Iss 1 (2023) |
| Druh dokumentu: | article |
| ISSN: | 19932820 1819-6357 1993-2820 |
| DOI: | 10.1080/19932820.2023.2258669 |
| Popis: | ABSTRACTBackground: The termination of pregnancy in patients with placenta accreta spectrum disorder (PASD) during the second trimester remains uncertain. In addition, interventional radiology techniques, such as arterial embolization and balloon placement, are potential options. We evaluated the outcomes of pregnancy termination in patients with PASD during the second trimester and the effectiveness of preoperative interventional radiology techniques.Methods: This retrospective study analyzed 48 PASD patients who underwent pregnancy termination during the second trimester between January 2016 and May 2021.Results: Of the 48 patients, 20 (41.67%) underwent transvaginal termination, whereas 28 (58.33%) underwent cesarean section. Notably, no significant differences were observed in success rates between the transvaginal termination and cesarean section groups (80.00% vs. 92.86%, P = 0.38). Furthermore, no statistically significant differences were observed in the success rates (94.12% vs 90.32%, P = 1.00) and blood loss (512.35 ± 727.00 ml vs 804.00 ± 838.98 ml, P = 0.23) between the artery embolization and non-embolization groups. In the vaginal termination group, statistically significant differences were observed in gestational weeks (16.70 ± 3.12 vs 22.67 ± 3.63, P |
| Databáze: | Directory of Open Access Journals |
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