ABSTRACT
Objective To discuss and validate which method is more effectiveness for central placenta previa through analysing the clinical outcomes of the management of hemorrhage between uterine packing and stitching hemo-stasis during cesarean section.Methods 48 pregnant women with central placenta previa was conducted in this ret-rospective study,which were all cesarean section delivery.These patients were divided into two groups.24 patients with uterine packing with gauze in the control of massive hemorrhage during cesarean section were indetified,other-wise,the other 24 patients were conducted with sewing and ligation uterine.And then,the effectiveness and outcomes were compared.Results These all patients were alive and keep the uterus.The average estimated blood loss of the stiching group was (554 ±327)mL,obviously less than the uterine packing group,which was (828 ±584)mL,and the difference was statisatically significant (t =6.689,P0.05).Conclusion The uterine stiching is an effective,rapid and simple technique in the control of hemorrhage of central placenta previa.
ABSTRACT
From January 1987 to April 1991, we used the ultrasonography in the diagnosis of placenta previa of 197 cases. The diagosis of placenta previa is made to assess the relationship of the lower margins of the placenta and the internal os. There were total 74 eases of placenta previa (37.6%), 37 cases of (18.8%) partial placenta previa, 46 cases of low-lying placenta (23.4%), and 40 cases of "relative low-lying placenta" (20.2%). The high ratio diagnosis of the total placenta previa was made at 28-36 weeks.(P