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Efficacy of distal haemostasis during caesarean delivery in women with placenta accreta spectrum disorders

Authors :
T. V. Kadtsyna
Yu. I. Tirskaya
R. G. Shmakov
O. V. Lazareva
I. V. Medyannikova
S. S. Stepanov
I. N. Razdobedina
S. V. Barinov
T. N. Neustroyeva
Source :
The Journal of Maternal-Fetal & Neonatal Medicine. 35:8778-8785
Publication Year :
2021
Publisher :
Informa UK Limited, 2021.

Abstract

Pregnancies complicated by the placenta praevia are associated with an increased risk of massive obstetric bleeding and high rates of hysterectomy which are often caused by the placenta accreta.This was a cohort study carried out between 2014 and 2020 in 532 women with abnormal placental localization and attachment. The placental attachment spectrum (PAS) disorder diagnosis was confirmed during the surgery and by the histology results in 164/532 participants. Depending on the surgical approach during the Cesarean delivery, patients were divided into three groups. In Group 1 (PAS was observed in 30.8% of the placenta praevia cases, and in 93.3% was associated with the presence of a uterine scar. Women with the placenta praevia and PAS had a significantly higher number of past deliveries (

Details

ISSN :
14764954 and 14767058
Volume :
35
Database :
OpenAIRE
Journal :
The Journal of Maternal-Fetal & Neonatal Medicine
Accession number :
edsair.doi.dedup.....95c70b5a0f626892e32d86a70a91ab11