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Clinical outcomes and anesthetic management of pregnancies with placenta previa and suspicion for placenta accreta undergoing intraoperative abdominal aortic balloon occlusion during cesarean section

BMC Anesthesiology Jun 03, 2020

Li P, Liu X, Li X, et al. - Researchers compared the clinical results of parturients with placenta previa (PP) and placenta accreta (PA) based on their severity, when they were treated with intraoperative abdominal aortic balloon occlusion (IAABO) during cesarean section, in this retrospective analysis. This study included 57 cases of PP and suspicion for PA in which IAABO was done during cesarean section. Experts classified patients into the low suspicion PA group and the high suspicion PA group, taking into account the preoperative evaluation as well as clinical risk factors. Findings revealed no impact of the severity of aberrant placental position on intraoperative blood loss during a cesarean section while the IAABO was done. Experts suggest that neuraxial anesthesia is favoured for performing these procedures without contraindications.

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