Conclusions
Our study elucidated that massive bleeding and placenta implantation
were the main severe adverse complications in pregnancies with
pernicious placenta previa and prior cesarean history. The examination
of MRI together with ultrasound during the routine follow-up obviously
improved the diagnosis of placenta implantation in these patients.
However, vascular occlusion is probably not an effective approach for
preventing severe outcomes in these pregnancies. We suggest that
surgical hemostasis is the key issue in blocking severe bleeding,
preserving the uterus and improving the prognosis of patients. These
characteristics should be considered by physicians for this kind of
patient in the future.
Disclosure of Interest : The author(s) report(s) no conflict of
financial, personal, political, intellectual or religious interests.