Open Access
CC BY-NC-ND 4.0 · Surg J (N Y) 2020; 06(S 02): S110-S121
DOI: 10.1055/s-0039-3402036
Precision Surgery in Obstetrics and Gynecology
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cesarean Section for Placenta Previa and Placenta Previa Accreta Spectrum

Satoru Takeda
1   Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan
2   Aiiku Research Institute for Maternal, Child Health and Welfare, Imperial Gift Foundation Boshi-Aiiku-Kai, Tokyo, Japan
,
Jun Takeda
1   Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan
,
Shintaro Makino
1   Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan
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Publikationsdatum:
09. März 2020 (online)

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Abstract

According to the increase in the rate of cesarean section and the increase of high-aged pregnancy, we seem to more often encounter cases with placenta previa and placenta previa accrete spectrum. There are concerns about these cases, such as difficulty in controlling bleeding from the separation surface of placenta previa, the need for hysterectomy as a life-saving procedure, systemic management and hemostasis during massive hemorrhage, and treatment of disseminated intravascular coagulation (DIC). These cases are most frequently associated with cesarean hysterectomy.