Analysis of maternal and infant outcomes in patients with placenta accreta disease at different timing of pregnancy termination
Objective To investigate the maternal and infant outcomes of patients with placenta accreta spectrum disorders(PAS)at different timing of pregnancy termination.Methods Fifty-four PAS patients who delivered in our hospital from February 2022 to October 2023 were selected as research subjects.According to the gestational age of termination of pregnancy,the 54 women were divided into group A(35w＞gestational age≥34w),group B(36w＞gestational age ≥ 35w),and group C(37w≥gestational age ≥ 36w).The numbers of patients in the groups A,B and C were 21,14 and 19,respectively.The intraoperative and postoperative related indicators and the prognosis of neonates and mothers were compared among the three groups.Logistic multifactor analysis was used to analyze the related factors affecting neonatal and maternal adverse outcomes.Results For intraoperative blood loss,postoperative hospital stay and emergency surgery rate,the group A＜the group B＜the group C(P＜0.05).There was no sta-tistically significant difference in the postpartum hemorrhage rate,hysterectomy rate,ICU admission rate and hemorrhagic shock rate among the three groups(P＞0.05).Logistic multifactor analysis showed that intraoperative blood loss,number of cesarean sections,gestational age,placenta accreta,invasive placenta accreta,and complete placenta accreta were independent risk factors for adverse maternal outcomes(P＜0.05).There were no neonatal deaths in the three groups.For rate of neonatal asphyxia apd transfer rate to NICU,the group A＜the group B＜the group C(P＜0.05).Logistic multifactor analysis showed that gestational age,birth weight,placenta accreta,number of cesarean sections,invasive placenta accreta,and complete placenta accreta were independent risk factors for adverse neonatal outcomes(P＜0.05).Conclusions For PAS patients,pregnancy termination during 34-35 weeks of pregnancy is the most appropriate time.It can better balance the risks between mother and baby.It can also achieve the best outcome for both mother and baby.
Dangerous placenta previaTiming of pregnancy terminationMaternal and fetal outcomes
万方数据
维普
