Management and outcome of placenta previa among women attending Khartoum maternity hospitals in Sudan
Management and outcome of placenta previa among women attending Khartoum maternity hospitals in Sudan
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苏丹喀土穆妇产医院妇女前置胎盘的治疗和结果
DOI：
10.14419/ijm.v3i1.4663
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Rania M. Omer
中科院分区：
文献类型：
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作者：
S. Handady;Hajar Hassan Sakin;Rania M. Omer
背景资料：前置胎盘并发妊娠的处理最好根据临床情况进行：无症状妇女、活动性出血妇女和一次或多次活动性出血后稳定的妇女。目的：探讨前置胎盘的处理方法及预后。方法学：本研究是一项横断面和以医院为基础的研究，在喀土穆妇产医院进行，为期6个月（2012年7月至12月），通过方便抽样方法选择了50名诊断为前置胎盘的VB妇女。结果：经阴道分娩2例，剖宫产48例（96.0%）。结果16例（32.0%）患者发生出血，5例（10%）患者行子宫切除术，2例（4%）患者发生急性肾功能衰竭，1例产妇死亡，26例（52.0%）患者无明显并发症。结论：绝大多数妇女接受了C/S术，约90.0%的妇女胎盘完全分离，4.0%的妇女胎盘留在胎盘内，6.0%的妇女胎盘部分留在胎盘内。
Background: The management of pregnancies complicated by placenta previa is best addressed in terms of the clinical setting: asymptomatic women, women who are actively bleeding and women who are stable after one or more episodes of active bleeding. Objective: To assess the management and outcome of placenta previa. Methodology: It was cross-sectional and hospital-basedstudy implemented during a time period of six months (July – December 2012) in Khartoum maternity hospital, and a total of50 women presented with VB diagnosed as placenta previa were selected through convenience sampling method. Results: Only two patients were deliver vaginally and C/S was done for 48(96.0%). Regarding outcome 16(32.0%) of patients were developed bleeding, 5(10%) of patients were ended by hysterectomy, 2(4%) developed acute renal failure, one maternal death and 26(52.0%) of patients were without obvious complications. Conclusions: The majority of women were undergone C/S and about (90.0%) their placenta were completely separated, (4.0%) left inside and (6.0%) left partially.