placenta previa complicated with placenta accreta spectrum disorders
Conditions
Interventions
experimental group:double uterine incision
control group:single uterine incision
Sponsors
Chengdu Women's and Children's Central Hospital , School of Medicine, University of Electronic Science and Technology of China.
Eligibility
Sex/Gender
Female
Age
20 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1. Singleton pregnancy with elective surgery without emergency major bleeding; 2. Color Doppler ultrasound and MRI during pregnancy showed that placenta previa complicated with PAS (including placental adhesion, implantation, and penetration), and the placenta covers the original cesarean incision in the lower uterus; 3. Medical and surgical diseases and pregnancy complications and complications that cause postpartum hemorrhage, such as: blood system disease, liver disease, placental abruption, hypertension in pregnancy, etc.; 4. No prenatal anemia or anemia but corrected, red blood cell count > 3.5 x 10^12/L, hemoglobin > 110 g/L, hematocrit > 0.28; 5. Gestational age > 34 weeks; 6. The patient or guardian is willing and agrees to perform balloon occlusion.
Exclusion criteria
Exclusion criteria: Pregnant women suffering from internal medical diseases and surgical diseases and pregnancy combinations and complications.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood loss during operation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of operation;Duration of balloon occlusion of abdominal aorta;Hysterectomy rate;Unplanned-return-to-the-operating-room rate;Postoperative uterine artery embolization rate;Postpartum haemorrhage in 24 hours;Incidence of postoperative thrombosis; | — |
Countries
China
Contacts
Public ContactXiaoqing Wei
Chengdu Women's and Children's Central Hospital , School of Medicine, University of Electronic Science and Technology of China.
Outcome results
None listed