Abstract【Objective】To investigate perioperative management of pernicious placenta previa. 【Methods】The clinical data of 119 cases of pernicious placenta previa from January 2012 to December 2018 were analyzed retrospectively. The patients were divided into two groups: the completed placenta previa group and the non-central type of pernicious placenta previa group. Placenta implantation rate, postpartum hemorrhage amount, perioperative blood transfusion volume, operation time and uterine resection rate were analyzed and compared between the two groups. 【Results】Placental implantation rate in the central group was 36.8% (35/95), significantly higher than that in the non-central group 8.3%(2/24, P<0.01). Postpartum hemorrhage amount: The median value of postpartum hemorrhage amount was 800(200~16000)mL in the central group, the mean was 1562±2253 ml, and that in the non-central group was 300(150~4000)mL and 637±1043 mL, respectively. That of the central group was significantly higher than of the non-central group (P<0.01). Perioperative blood transfusion: in the central group,the blood transfusion rate was 38.9%(37/95), while in the the non-central group, it was 8.3%(2/24). That of the central group was significantly higher than that of the non-central group. Operation time: patients in the central group had significantly longer operative time (118±76 min) than those in the non-central group (82.8±38 min) (P<0.05). There was no significant difference in uterine resection rate between the two groups. 【Conclusion】Central type of pernicious placenta previa is more liable to acquire placenta increta, and the risk of hemorrhage and blood transfusion is higher than the non-central group.
SHI Xiao,WANG Mu-lan,LU Jun-li, et al. Clinical Analysis of 119 Cases of Pernicious Placenta Previa Caesarean Section[J]. JOURNAL OF CLINICAL RESEARCH, 2019, 36(6): 1106-1108.
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