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.

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References

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