| Objective To explore the effects of pushdown bladder before fetal delivery during cesarean section(CS) complications of pernicious placenta previa(PPP).Methods Eighty-nine cases of PPP hospitalized in the First Affiliated Hospital of Anhui Medical University from January 2016 to December 2017 were selected and divided into two groups according the time of pushdown bladder during CS, namely group A (pushdown bladder before fetal delivery, 47 cases) and group B (pushdown bladder after fetal delivery,42 cases). We analyzed the general information of the two groups (age, gravidity, parity, gestational weeks, clinical placenta implantation rate), operation blood loss, average blood transfusion, operation time, postoperative hospital stay, puerperal morbidity, hysterectomy, bladder injury and neonatal asphyxia.Results The average operation blood loss of two groups was (1 927.76±356.31)mL vs (1 285.73±162.69)mL, blood transfusion was (861.72±91.58)mL vs (1 285.73±162.69)mL, operation time was (1.83±0.87)h vs (2.71±0.94)h, postoperative hospital stay was (5.37±1.72)d vs (6.83±1.56)d, puerperal morbidity was 10.64% vs 28.57%, hysterectomy was 14.89% vs 35.71% and neonatal asphyxia was 4.26% vs 19.05%, and there was significant difference between the two groups(P<0.05).Conclusions Pushdown bladder before fetal delivery during the CS of PPP is an effective method and worth clinical spreading. |
