Article Sidebar

PDF
Date Published: 13/11/2022
Abstract Views: 259
Views PDF: 215
DOI: https://doi.org/10.51298/vmj.v519i2.3625
Issue
Vol. 519 No. 2 (2022)
Section
Các bài báo
How to Cite
Thị Năm, L. ., Duy Ánh, N. ., Tuấn Đạt, Đỗ ., & Quang Vinh, T. . (2022). CHARACTERISTICS OF PLACENTA ACCRETA CASES WITH CESAREAN SCAR UNDERGONE CONSERVATIVE MANAGEMENT AT HANOI OBSTETRICS AND GYNECOLOGY AND HOSPITAL. Vietnam Medical Journal, 519(2). https://doi.org/10.51298/vmj.v519i2.3625

CHARACTERISTICS OF PLACENTA ACCRETA CASES WITH CESAREAN SCAR UNDERGONE CONSERVATIVE MANAGEMENT AT HANOI OBSTETRICS AND GYNECOLOGY AND HOSPITAL

Lê Thị Năm1,, Nguyễn Duy Ánh1,2,3, Đỗ Tuấn Đạt1,2, Trương Quang Vinh3
1 Hanoi Obstetrics and Pediatrics Hospital
2 Hanoi Medical University
3 University of Medicine and Pharmacy, Vietnam National University, Hanoi

Main Article Content

Abstract

Objectives: To describe clinical and paraclinical characteristics of cases of uterine preservation in cesarean section with placenta previa with old cesarean section scars at Hanoi Obstetrics and Gynecology Hospital. Methods: A retrospective descriptive study on 50 cases of old surgical scars diagnosed with placenta previa and uterus-conserving cesarean section at Hanoi Obstetrics and Gynecology Hospital since May 2020 until July 2021. Results: Gestational age at diagnosis of RLS was 29.3 ± 2.33 weeks; average gestational age at cesarean section was 36.2 ± 1.92 weeks; Women with a history of cesarean section twice accounted for the highest rate of 50.0%. Bleeding is the most common clinical sign (accounting for 58.0%). The placenta at the front of the uterus accounted for 78.0%. The percentage of women who lost light space after the placenta and had abnormal blood vessels accounted for the most, 58.0%, 44.0%, respectively. Conclusion: Our study initially recorded the results of clinical and subclinical characteristics of pregnant women with placenta previa with old cesarean section scars, especially signs on Doppler ultrasound. Preoperative evaluation will contribute to the surgeons predicting the success of uterine-conserving surgery in these cases.

Article Details

Keywords

Placenta placenta, placenta previa, uterine preservation

References

1. Irving FC., Hertig AT. (1937). "A study of placenta accreta", Surg Gynec Obstet, 64, 178 – 200.
2. Miller DA, Chollet JA, Goodwin TM (1997). "Clinnical risk factor of previa placenta accreta", Am.J. Obstet Gynecol, 177(1), 210-214.
3. Eller AG, Porter TF, Soisson P. (2009). "Optimal management strategies for placenta accrreta", BJOG, 116, 648.
4. Trần Khánh Hoa (2018), Nghiên cứu thái độ xử trí rau tiền đạo cài răng lược trên sẹo mổ lấy thai cũ tại Bệnh viện Phụ sản Hà Nội, Trường Đại học Y Hà Nội, Hà Nội.
5. C. Mitric, J. Desilets, J. Balayla, et al (2019). "Surgical Management of the Placenta Accreta Spectrum: An Institutional Experience", J Obstet Gynaecol Can, 41(11), 1551-1557.
6. Klar M, Michels KB (2014). "Cesarean section and placental disorders in subsequent pregnancies – A metaanalysis", J Perinat Med, 42, 571-83.
7. Silver RM (2015). "Abnormal placentation: Placenta previa, vasa previa and placenta accreta", Obstet Gynecol, 126(3), 654-68.
8. Phạm Thị Linh (2019), Nghiên Cứu về Rau Cài Răng Lược ở Rau Tiền Đạo Trên Sản Phụ Có Tiền Sử Mổ Lấy Thai Tại Bệnh Viện Phụ Sản Trung Ương, Luận văn Thạc sỹ. Trường Đại học Y Hà Nội.
9. D. De Vita, G. Capobianco, G. Gerosolima, et al (2019). "Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa: A Multicenter Study", Gynecol Obstet Invest, 84(3), 242-247.
10. Trần Danh Cường (2011). "Chẩn đoán rau cài răng lược bằng siêu âm Doppler màu", Hội nghị Sản Phụ khoa Việt - Pháp năm 2011 - Chuyên đề chẩn đoán trước sinh - sơ sinh, 119 - 124.