The Most Dangerous Complication of Pregnancy Complicated by Placenta Previa And Placenta Accreta Is the Optimal Solution for Delivery with Massive Bleeding

In many countries of the world, including the Russian Federation, hysterectomy is recommended if the blood loss exceeds 1500–2000 ml and methods such as uterotonic agents, blood components, clotting factors, and uterine artery ligation do not give the expected result. According to world statistics, deep penetration of the placenta into the uterine wall (placenta accreta spectrum) is one of the main reasons for hysterectomies performed in obstetric practice (Dandolu V.,2012; Daskalakis G.,2007, Wu S.,2005). Avoiding hysterectomy and preserving reproductive potential in patients with placental invasion is one of the important tasks of modern obstetrics. One of the innovative methods proposed by Japanese specialists is the cesarean section performed through the uterine fundus (Kotsuji F., 2013; Nishida R., 2013). Many researchers are also discussing the effectiveness of endovascular methods in reducing intraoperative bleeding.

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