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| The effect of balloon occlusion of abdominal aorta and bilateral internal iliac artery in women with perilous placenta previa combined with placenta implantation and its influence on the pregnant outcomes |
| Henan Province People's Hospital Zhengzhou, 450003 |
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Abstract Objective: To explore the effect of balloon occlusion of abdominal aorta and bilateral internal iliac artery in women with perilous placenta previa combined with placenta implantation and its influence on the pregnant outcomes. Methods: A retrospective analysis was conducted. 43 patients with placenta previa and placenta accreta from April 2015 to September 2016 were in internal iliac artery group, who had experienced bilateral iliac artery balloon occlusion. 50 patients with placenta previa and placenta accreta from October 2016 to December 2017 were in abdominal aorta group, who had experienced abdominal aorta balloon occlusion. The type of placenta implantation, volume of operative blood lost, blood transfusion volume, operative time, the incidence of hysterectomy, lower extremity thrombosis and disseminated intravascular coagulation (DIC) were observed in both groups. The pregnant outcomes were also recorded. Results: There was no significant different in the type of placenta implantation and the incidence of DIC and lower limb thrombosis between the two groups (P>0.05). The volume of blood lost, volume of blood transfusion, operation time and rate of hysterectomy of patients in the abdominal aorta group were significant lower than those of patients in the internal iliac artery group (P<0.05). There were no significant different in neonatal malformation, newborn weight, neonatal Apgar score, and neonatal asphyxia between the two groups of (P>0.05). Conclusion: Abdominal aortic balloon occlusion can reduce the hysterectomy rate, can reduce operative time, and can improve pregnant outcomes of patients with placenta previa and placenta accreta.
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