Comparative aspects of classical cesarean section and bottom cesarean section in placenta previa with placenta accreta
DOI:
https://doi.org/10.37800/RM.3.2022.63-67Keywords:
cesarean section (C-section), corporal section, pregnancy, placenta, placenta previaAbstract
Relevance: The cesarean section (C-section) frequency is steadily increasing globally. Innovative organ surgical techniques like bottom C-section with metroplasty (excision of the uterus with placenta accreta) are used. The need for a new approach to such delivery aims primarily to minimize blood loss, which is inevitable in this state and sometimes reaches 5000-7000 mL.
The study aimed to substantiate the effectiveness and superiority of bottom C-sections in placenta previa compared to the classical method of operative delivery.
Methods: A retrospective analysis was made of 27 cases diagnosed with placenta previa at the perinatal center and children’s cardiac surgery in Almaty.
Results: The analysis showed that bottom C-section in gravida with placenta previa and accreta was associated with a 2.5-times lower intraoperative blood loss, a decrease in volumes of replacement therapy in the form of blood and plasma transfusion and re-infusion from 4800.0 to 700.0 mL (p<0.05), and a twofold decrease in the case management cost.
Conclusion: Thus, the bottom C-section may be recommended in placenta previa and accreta.
References
Курцер М.А., Кутакова Ю.Ю., Бреслав И.Ю., Сонголова Е.Н. Placenta accreta: сохраняем матку // Status Praesens. – 2013. – №3(14). – C. 14-19 [Kurcer M.A., Kutakova Yu.Yu., Breslav I.Yu., Songolova E.N. Placenta accreta: soxranyaem matku // Status Praesens. – 2013. – №3(14). – C. 14-19 (in Russ.)]. https://www.elibrary.ru/item.asp?id=29143092
Budny-Winska J., Pomorski M. Uterine niche after cesarean section: a review of diagnostic methods // Ginekol. Pol. – 2021. – Vol. 92(10). – P. 726-730. https://doi.org/10.5603/gp.a2021.0195
Karami M., Jenabi E., Fereidooni B. The association of placenta previa and assisted reproductive techniques: a meta-analysis // J. Matern. Fetal. Neonatal. Med. – 2018. – Vol. 31. – P. 1940-1947. https://doi.org/10.1080/14767058.2017.1332035
Belfort M.A., Shamshirsaz A.A., Fox K.A. The diagnosis and management of morbidly adherent placenta // Semin. Perinatol. – 2018. – Vol. 42. – P. 49-58. https://doi.org/10.1053/j.semperi.2017.11.009
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Reproductive Medicine
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The articles published in this Journal are licensed under the CC BY-NC-ND 4.0 (Creative Commons Attribution – Non-Commercial – No Derivatives 4.0 International) license, which provides for their non-commercial use only. Under this license, users have the right to copy and distribute the material in copyright but are not permitted to modify or use it for commercial purposes. Full details on the licensing are available at https://creativecommons.org/licenses/by-nc-nd/4.0/.
