Metode terapeutice în sarcina complicată cu placenta praevia şi aderenţă anormală – analiză retrospectivă
Year: 2023
Type: article
Study design: Observational Study
Abstract: Placenta praevia with placenta accreta spectrum constitutes a challenging obstetrical pathology. Antenatal diagnostic protocol using ultrasonography and MRI allows an optimal therapeutic plan, ideally managed in a specialized tertiary center, with a multidisciplinary team involved. The therapeutic management usually implies caesarean hysterectomy. We conducted a retrospective study in the University Emergency Hospital Bucharest over a five-year period, with the aim to evaluate the therapeutic methods applied for placenta praevia with abnormal adherence. Through this study, we want to highlight the antenatal diagnostic protocol, but also the surgical therapeutic management. Twenty-six cases were identified. The mean maternal age was 35.46 years old, and the mean gestational age at delivery was 34 weeks. Eighteen cases were managed electively, while seven patients required emergency management. The treatment for placenta percreta and placenta increta consisted of caesarean hysterectomy in all of our cases, while five cases of placenta accreta were managed conservatively without hysterectomy.
Source: Ginecologia ro
Language: Romanian
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4379795000