HomeArchiveVolume 7Volume 7, issue 1The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation
Sukran Dogru1, Fatih Akkus1, Altinordu A. Atci1, Gulnur Eren2, Ali Acar2
1NECMETTIN ERBAKAN UNIVERSITY MEDICAL SCHOOL OF MERAM, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, DIVISION OF PERINATOLOGY, KONYA, TURKEY
2NECMETTIN ERBAKAN UNIVERSITY MEDICAL SCHOOL OF MERAM, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, KONYA, TURKEY
Abstract
Objectives. We aimed to study the number of previous cesarean sections in cases diagnosed with placenta previa (PP) and placenta accreta spectrum (PAS), and maternal and fetal results in cases where we performed uterus-sparing surgery. Materials and Methods. PAS patients diagnosed with PP (PPAS) were included in this retrospective study. Postoperative hemogram values, blood transfusion amounts, hospitalization days, intraoperative and postoperative complication rates of all patients, APGAR scores (5-minute), mortality rates and birth weights were registered for all newborns on admission to the intensive care unit. Results. A total of 122 pregnant women were included in the study. In the comparison of hospitalization rates, there was a significant difference between CS ≤1 and CS =2 (p=0.01). When postoperative hemoglobin values were compared, there was significant difference between CS ≤1 and CS ≥3 (p<0.01). Neonatal intensive care admission rates increase as the number of CS increases. Conclusions. Uterus-sparing surgery in experienced clinics seems to be applicable, even if maternal and fetal morbidity increases. We suggest to consider CS numbers in PPAS group for fetal and maternal wellness while doing surgical planning.
Cite this article:
Vancouver
Dogru S, Akkus F, Atci AA, Eren G, Acar A. The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation. J Clin Investig Surg. 2022 May 25; 7(1):25-30. Available from: https://www.proscholar.org/jcis/archive/vol.7/iss.1/5/ doi: 10.25083/2559.5555/7.1.5
NLM
Dogru S, Akkus F, Atci AA, Eren G, Acar A. The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation. J Clin Investig Surg. 2022 May;7(1):25-30. doi: 10.25083/2559.5555/7.1.5.
AMA
Dogru S, Akkus F, Atci AA, Eren G, Acar A. The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation. J Clin Investig Surg. 2022;7(1):25-30.
MLA
Dogru, Sukran, et al. “The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation.” Journal of Clinical and Investigative Surgery 7.1 (2022): 25-30. doi:10.25083/2559.5555/7.1.5.
APA
Dogru, S., Akkus, F., Atci, A. A., Eren, G., & Acar, A. (2022). The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation. Journal of Clinical and Investigative Surgery, 7(1), 25-30.
ISO 690
Dogru
, Sukran, et al. The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation. Journal of Clinical and Investigative Surgery, 2022, 7.1: 25-30.