Multistep approach for control of postpartum hemorrhage in placenta accreta: a novel scheme in a tertiary referral center

Abstract

, 25 women with anterior low-lying placenta and previous caesarian section(s) were recruited at El-Shatby Maternity university hospital in Alexandria, Egypt. This hospital is a tertiary center for 3 governorates in Egypt with population exceeding 10 million and caesarian section rate approaching 40% of all deliveries. This study was approved by the Ethics Committee of the hospital and a written informed consent form was signed by the women and/or their nearest relatives before the operation. Cases had previous 1-4 lower segment caesarian deliveries. Cases were diagnosed as placenta accreta by ultrasonographic examination on admission to hospital. Criteria for ultrasonographic diagnosis were: