Articles: placenta-previa-surgery.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Nov 2011
Maternal morbidity associated with placenta praevia among women who had elective caesarean section.
Estimates of the increased risk of maternal complications after caesarean section posed by placenta praevia differ between studies and may not reflect current practice. We assess the impact of placenta praevia on maternal complications after elective caesarean section (CS). ⋯ Placenta praevia remains a risk factor for various maternal complications, although the increased risk of hysterectomy is lower than previously reported.
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Cardiovasc Intervent Radiol · Aug 2011
Perioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta.
The purpose of this study was to describe the preliminary results of prophylactic temporary balloon occlusion of the internal iliac arteries for bleeding control in patients with placenta accreta during cesarean hysterectomy. ⋯ The results demonstrated that prophylactic balloon occlusion of internal iliac artery is a safe method and appears to reduce blood loss and transfusion requirements in patients diagnosed with placenta accreta who undergo cesarean hysterectomy. Antenatal imaging diagnosis of placenta accreta enables preoperative planning.
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J. Obstet. Gynaecol. Res. · Jul 2011
Correlation between the cervical length and the amount of bleeding during cesarean section in placenta previa.
To investigate the association between the amount of bleeding during a cesarean section and the effacement of the uterine cervix in patients with placenta previa. ⋯ This study demonstrated that a short cervical length in cases with placenta previa was associated with massive bleeding during the operation. Short cervical length seems to be one of the warning signs for massive bleeding during the operation for placenta previa.
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Acta Obstet Gynecol Scand · Oct 2010
New local hemostatic treatment for postpartum hemorrhage caused by placenta previa at cesarean section.
Cesarean section in women with placenta previa is associated with the risk of heavy bleeding. We describe a new method where local hemostasis is obtained by applying a hemostatic fleece directly onto the lower uterine segment. During a 2-year period women undergoing cesarean section due to placenta previa were treated with this hemostatic fleece if they had ongoing bleeding during the surgical procedure despite routine treatment. ⋯ No patients were readmitted to the hospital due to endometritis. We conclude that the application of a hemostatic fleece directly onto the bleeding surfaces in patients with post-cesarean bleeding due to placenta previa is technically unproblematic. The results suggest that this procedure should be considered in case of bleeding after delivery in women with placenta previa.