A Retrospective Study in 12-Year cohort of 216 Parturients with Invasive Placentation in a Tertiary Care Centre in Oman: Clinical Outcomes Indicate Severe Maternal Morbidity

被引：1

作者：

Hegde, Harihar V. ^{[1
]}

Joshiraj, Bandi ^{[1
]}

Paul, Manisha ^{[1
]}

Weerasinghe, Anjalika S. ^{[1
]}

Mulgund, Krishnendra Gurunath ^{[1
]}

Marimuthu, Sriramamoorthy Ramu ^{[1
]}

Pai, Arun G. ^{[2
]}

Abdullah, Ramlaa Malallah ^{[1
]}

机构：

[1] Royal Hosp, Dept Anesthesia & Intens Care, Muscat, Oman

[2] Aneurin Bevan Univ Hlth Board, Anaesthesia Intens Care & Pain Med, Newport, Wales

来源：

JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA | 2024年 / 46卷 / 04期

关键词：

accreta; placenta; cesarean section hysterectomy; blood transfusion; complications intraoperative; complications postoperative; neonates; RISK-FACTORS; ACCRETA;

D O I：

10.1016/j.jogc.2023.102341

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Placenta accreta spectrum (PAS) comprising placenta accreta, increta, and percreta, is 1 of the leading causes of peripartum hemorrhage and accounts for up to 50% of all cesarean hysterectomies (CH). We analyzed the data of 216 parturients with PAS who underwent cesarean delivery (CD) and/or CH. Intraoperative surgical complications were noted in 215 (99.5%). The mean estimated blood loss was 2743 (1790) mL, and 105 parturients (48.6%) lost >2500 mL. The patients experienced high rates of severe acute maternal morbidity [162 (75%)], hysterectomy [82 (38%)], large volume blood loss, blood transfusion, peripartum anemia, and prolonged hospital stay. <feminine ordinal indicator> 2023 The Society of Obstetricians and Gynaecologists of Canada/La Soci & eacute;t & eacute; des obst & eacute;triciens et gyn & eacute;cologues du Canada. Published by Elsevier Inc. All rights reserved.

引用

页数：6

共 10 条

[1] Placenta Accreta Spectrum [J].

Cahill, Alison G. ;

Beigi, Richard ;

Heine, R. Phillips ;

Silver, Robert M. ;

Wax, Joseph R. .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2018, 219 (06) :B2-B16

[2] Optimal management strategies for placenta accreta [J].

Eller, A. G. ;

Porter, T. F. ;

Soisson, P. ;

Silver, R. M. .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2009, 116 (05) :648-654

[3] Emergent versus planned delivery in patients with placenta accreta spectrum disorders A retrospective study [J].

Nguyen Manh Thang ;

Nguyen Thi Huyen Anh ;

Pham Hai Thanh ;

Pham Thi Linh ;

Tran Danh Cuong .

MEDICINE, 2021, 100 (51) :E28353

[4]

Nguyen-Lu N, 2016, CAN J ANESTH, V63, P1233, DOI 10.1007/s12630-016-0695-x

[5] Uterus-preserving surgical management of placenta accreta spectrum disorder: a large retrospective study [J].

Pan, Wenxia ;

Chen, Juan ;

Zou, Yinrui ;

Yang, Kun ;

Liu, Qingfeng ;

Sun, Meiying ;

Li, Dan ;

Zhang, Ping ;

Yue, Shixia ;

Huang, Yuqiang ;

Wang, Zhaoxi .

BMC PREGNANCY AND CHILDBIRTH, 2023, 23 (01)

[6] FIGO consensus guidelines on placenta accreta spectrum disorders: Conservative management [J].

Sentilhes, Loic ;

Kayem, Gilles ;

Chandraharan, Edwin ;

Palacios-Jaraquemada, Jose ;

Jauniaux, Eric .

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2018, 140 (03) :291-298

[7] Transfusion requirements in obstetric patients with placenta accreta [J].

Stotler, Brie ;

Padmanabhan, Anand ;

Devine, Patricia ;

Wright, Jason ;

Spitalnik, Steven L. ;

Schwartz, Joseph .

TRANSFUSION, 2011, 51 (12) :2627-2633

[8] Placenta previa-accreta: Risk factors and complications [J].

Usta, IM ;

Hobeika, EM ;

Abu Musa, AA ;

Gabriel, GE ;

Nassar, AH .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 193 (03) :1045-1049

[9]

Wright JD, 2011, AM J OBSTET GYNECOL, V205, DOI [10.1016/j.ajog.2011.01.040, 10.1016/j.ajog.2011.02.067]

[10]

Zhang DD, 2017, INT J CLIN EXP MED, V10, P12509

← 1 →