Clinical Analysis Of 10 Cases Of Pernicious Placenta Praevia

Objective:To investigate the prenatal diagnosis and clinical treatment of pernicious placenta praevia,in order to improve the recognition and provide treatment experience for diagnosis and treatment of the disease,so as to improved the maternal and neonatal outcomes.Methods:Ten cases of pernicious placenta praevia with placenta large or deep implanted(The area of placenta accreta bigger than half of the placenta area or the depth of implantation is above the deep myometrium.)who were delivered in the Second Affiliated Hospital of Nanchang University from March 1st 2017 to February28 th 2018 were retrospectively analysed.Rsults:All patients recovered from the hospital,5 patients reserved the uterus successfully.Among them,7 patients preset the abdominal aortic ballon occlusion,only 3 patients with placenta percreta had not reserve the uterus,and the remaining 4patients reserved the uterus successfully.The intraoperative blood loss and blood transfusion volume in the patients who placed abdominal aortic ballon occlusion were significantly lower than those who had not been placed,and the operation time was shortened.All 10 neonates survived,and the Apgar scores of them were good at the time of birth.Conclusions:Pernicious placenta praevia can lead to adverse pregnancy outcome.In the process of diagnosis and treatment of pernicious placenta praevia patients,we should emphase on early diagnosis,optimization the referral flow,follow the principle of treating patients individually,expectation treatment reasonably,and termination pregnancy timely.Before the surgery,the risk of surgery should be fully evaluated,communicated with patients and their family members fully,completed perioperative management,paied attention to perioperative multidisciplinary teamwork,use theabdominal aortic balloon occlusion reasonably can reduce intraoperative blood loss and blood transfusion effectively,thereby improving maternal and neonatal outcomes.