Evaluation Of Patients With Previous C/S + Plasenta Previa Totalis İn 2017

Abstract

In this study, it was aimed to transfer different aspects from the literature in the management of patients who applied to our hospital with the diagnosis of placenta previa in 2017. Metods:Patients who were admitted to our hospital in 2017 with a diagnosis of PP and who had undergone at least one previous cesarean section were included in the study.Results: A total of 110 patients with the diagnosis of PP underwent surgery. The mean age of the patients was 33.02 ± 5.1 years. Spinal anesthesia was applied to 94 (85.5%) patients. An abdominal Pfannenstiel incision was performed in 107 (97.3%) patients. A total of four (3.6%) patients underwent hysterectomy. A total of 95 (86.4%) patients had accrete. Conclusion:In conclusion, caesarean hysterectomy is recommended in patients with PP, especially those with accreta, however, the number of conservative treatment options has increased in recent years. Conservative surgery, which is frequently used in our clinic, is a comfortable option for the patient, and uterine-preserving surgery is very important for the preservation of fertility.

Clinical Comparison of Anterior or Posterior Placental Location with Placenta Previa and History of Previous Cesarean Section Delivery

“…Placenta previa, the most significant complication of pregnancy, is associated with the number of previous cesarean sections [ 1 , 2 , 9 ]. In Turkey, the number of cesarean sections is increasing, and so is the incidence of placenta previa [ 3 ]. Placenta previa can lead to life-threatening bleeding during pregnancy or at the time of cesarean section delivery, possibly requiring blood transfusion, hysterectomy, or intensive care or leading to maternal death [ 10 – 12 ].…”

“…The recent rise in the incidence of placenta previa has been attributed to the increased number of cesarean sections [ 1 , 2 ]. In Turkey, this rate is around 8% [ 3 ]. Diagnosis of placenta previa can be made based on a standard ultrasonographic examination.…”