Outcomes of the second pregnancy after Triple-P procedure in women complicated with placenta accreta spectrum disorders
10.3760/cma.j.cn112141-20220825-00536
- VernacularTitle:胎盘植入性疾病孕妇Triple-P手术后的再次妊娠结局分析
- Author:
Lizi ZHANG
1
;
Lili DU
;
Huidan ZHAO
;
Lin YU
;
Fang HE
;
Jingsi CHEN
;
Chunhong SU
;
Xianlan ZHAO
;
Dunjin CHEN
Author Information
1. 广州医科大学附属第三医院妇产科 广东省产科重大疾病重点实验室，广州 510150
- Keywords:
Placenta accreta;
Cesarean section;
Postpartum hemorrhage;
Conservative treatment;
Pregnancy;
Pregnancy outcome
- From:
Chinese Journal of Obstetrics and Gynecology
2023;58(1):44-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety of the Triple-P procedure in women complicated with severe placenta accreta spectrum disorders (PAS) and its influence on second pregnancy.Methods:From January 2015 to December 2017, the outcomes of the second pregnancy after the Triple-P procedure in 11 pregnant women complicated with PAS in the Third Affiliated Hospital of Guangzhou Medical University and the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed.Results:By December 2021, a total of 11 pregnant women who underwent the Triple-P procedure for PAS had a second pregnancy, with a median interval of 3 years (2-3 years). Of the 11 pregnant women, 7 delivered after 36 weeks of gestation. The median gestational age was 38 weeks, and 4 terminated within the first trimester. PAS recurred in 1 of 7 pregnant women (1/7) and was associated with placenta previa. All of the 7 pregnant women were delivered by cesarean section, with a median postpartum blood loss of 300 ml (200-450 ml), and only one pregnant woman required blood transfusion. None of the pregnant women were transferred to the intensive care unit, and there were no uterine rupture, bladder injury, puerperal infection, and neonatal adverse outcomes.Conclusion:Pregnant women who underwent the Triple-P procedure for severe PAS could be considered for second pregnancy with strictly management by an experienced multidisciplinary team, which may result in a good outcome.
