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.