Transecting versus avoiding incision of the anterior placenta previa during cesarean delivery.
Int J Gynaecol Obstet
; 128(1): 44-7, 2015 Jan.
Article
in En
| MEDLINE
| ID: mdl-25218131
ABSTRACT
OBJECTIVE:
To compare maternal outcomes after transection and after avoiding incision of the anterior placenta previa during cesarean delivery.METHODS:
In a retrospective study, records were reviewed for women who had anterior placenta previa and delivered by cesarean after 24 weeks of pregnancy at a tertiary center in Rouen, France. During period A (January 2000 to December 2006), the protocol was to systematically transect the placenta when it was unavoidable. During period B (January 2007 to December 2010), the technique was to avoid incision by circumventing the placenta and passing a hand around its margin. Logistic regression was used to identify independent risk factors associated with maternal transfusion of packed red blood cells.RESULTS:
Eighty-four women were included (period A n=43; period B n=41). During period B, there was a reduction in frequency of intraoperative hemorrhage (>1000 mL) (P=0.02), intraoperative hemoglobin loss (P=0.005), and frequency of blood transfusion (P=0.02) as compared with period A. In multivariable analysis, period B was associated with a reduced risk of maternal transfusion (odds ratio 0.27; 95% confidence interval 0.09-0.82; P=0.02).CONCLUSION:
Avoiding incision of the anterior placenta previa was found to reduce frequency of maternal blood transfusion during or after cesarean delivery.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Placenta
/
Placenta Previa
/
Cesarean Section
/
Blood Loss, Surgical
/
Erythrocyte Transfusion
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
Language:
En
Journal:
Int J Gynaecol Obstet
Year:
2015
Document type:
Article