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中华妇幼临床医学杂志(电子版)

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2020, Vol. 16 ›› Issue (06): 634 -640. doi: 10.3877/cma.j.issn.1673-5250.2020.06.003

Special Issue: ；

Forum

Current status of preoperative evaluation and surgical treatment on patient with pernicious placenta previa

Daijuan Chen1, Jinfeng Xu1, Yuan Tian1, Xiaodong Wang1, Bing Peng1,†()   

  1. 1. Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2020-05-03 Revised:2020-11-11 Published:2020-12-01
  • Corresponding author: Bing Peng
  • Supported by:
    Project of Applied Basic Research by Department of Science and Technology in Sichuan Province(2018JY0575); Project of Key Research and Development by Department of Science and Technology in Sichuan Province(2018SZ0265)
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Pernicious placenta previa (PPP) is a serious obstetric condition resulting in high risk of placenta accreta (PA) and intraoperative massive hemorrhage. Regarding the treatment of PPP, there is no unified standard guideline for the medical condition assessment and surgical treatment at home and abroad, nor is a unified surgical treatment process or method. Early diagnosis, accurate medical condition assessment, elective termination of pregnancy, and grasping the PPP surgery related complications, reducing or preventing the occurrence of serious complications should be performed. Once happened, positive and effective treatment measures for reducing the incidence of severe postpartum hemorrhage (PPH) and maternal mortality, improving the long-term prognosis are of great significance for pregnant women with high-risk of PPP. At present, surgical methods and intraoperative hemostasis of PPP are developing rapidly. The authors intend to elaborate on the latest research status of PPP definition, clinical diagnosis, preoperative medical condition assessment, surgical mode selection and intraoperative adjuvant therapy strategy.

Key words: Placenta previa, Placenta accreta, Cesarean section, repeat, Hemostasis, surgical, Postpartum hemorrhage, Uterine contraction, Hysterectomy, Pregnant women and puerpera
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