Response letter to “Bleeding-related outcomes of low-risk total placenta previa are equivalent to those of partial/marginal placenta previa”
Response letter to “Bleeding-related outcomes of low-risk total placenta previa are equivalent to those of partial/marginal placenta previa”
复制标题
对“低风险完全性前置胎盘的出血相关结果与部分/边缘性前置胎盘的出血相关结果相同”的回复信
DOI：
10.1016/j.tjog.2022.08.011
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发表时间：
2022
影响因子：
2.1
通讯作者：
Takahashi Hironori
中科院分区：
文献类型：
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作者：
Ogoyama Manabu;Takahashi Hironori
我们要感谢Yao等人对胎盘植入谱问题的有趣评论[[1]，[2]，[3]]。部分性/边缘性前置胎盘（PP）的诊断和处理存在困难，尚未在全球范围内标准化[[4]，[5]，[6]]。选择性剖宫产（CS）不仅在本研究所，而且在日本的其他围产中心，通常对部分性/边缘性PP患者进行。部分/边缘PP患者在观察期内尚未阴道分娩。然而，由于一些部分/边缘PP患者可能能够阴道分娩，产科医生需要随时准备治疗产时大出血（24 ha/天/一年365天）。此外，夜间或周末可能需要医疗护理。因此，我们对日本所有部分/边缘PP患者进行了择期CS。
We would like to thank Yao et al. for their interesting comments on the issue of placenta accreta spectrum [[1],[2],[3]]. Difficulties are associated with the diagnosis and management of partial/marginal placenta previa (PP), which have not yet been standardized globally [[4],[5],[6]].Elective cesarean section (CS) has generally been performed on patients with partial/marginal PP not only in our institute, but also in other perinatal centers in Japan. Partial/marginal PP patients have not yet delivered vaginally during the observation period. However, since some partial/marginal PP patients may be able to deliver vaginally, obstetricians need to be prepared to treat intrapartum massive hemorrhage at any time (24 ha day/365 days a year). Furthermore, medical care may be required during the night or at weekends. Thus, we perform the elective CS for all patients with partial/marginal PP in Japan.