Management and complications in women who have cesarean section due to placenta previa at Thai Binh Obstetrics and Gynecology Hospital
Main Article Content
Abstract
The study was conducted on 123 patients who had to undergo placenta previa caesarean section at Thai Binh Obstetrics and Gynecology Hospital from June 1, 2019 to the end of May 31, 2020. The results showed that: The rate of emergency surgery accounted for 40.7%, the cause of bleeding accounted for 82%. The transverse incision in the lower uterine segment is the main one, accounting for 91.1%. Management of hemostasis during colorectal surgery: medical success was 44.7%, hemostasis in the area of fascia was 29.3%, Aortic utery ligation (alone and in combination) was successful 20.3%. Active hysterectomy is operated in placenta increta or failed hemostasis. The rate of organ damage is 1.65%, mainly in placenta increta. The rate of preterm cesarean section of placenta previa is 30.9%, the neonatal mortality rate is 1.6%. The rate of blood transfusion after surgery of placenta previa is 21.1%, mainly in emergency surgery and central placenta previa.
Article Details
Keywords
Placenta previa, complications after birth.
References
2. Huyen LTT, Clinical situation and some factors related to placenta previa at the Central Hospital in 2004, Master's thesis, Hanoi Medical University, 2004; p.32.
3. Ananth CV, Smulian JC, Vintzileos AM et al., The association of placenta with history of cearean delivery and abortion: A metanalysis, Am.J. Obstets Gynecol. November, 177(5)/1997; p. 1071-1077.
4. Huyen TB, Comments on diagnosis and management of placenta previa in pregnant women with old cesarean section scars at National Ob &Gy Hospital in 2012. Thesis of a medical doctor specializing in obstetrics and gynecology, 2012.
5. Cabrol D et Goffinet F, Anomalies d’insertion placentaire. Protocoles cliniques en obstétrique, Collection Abrégés de périnatalité, 4è édition, Elsevier Masson Paris, 2013, p.37-44.