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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

RETRACTED ARTICLE: The effect of uterine artery ligation in patients with central placenta pevia: a randomized controlled trial

Authors: Ahmad Sameer Sanad, Ahmad E. Mahran, Mahmoud Elmorsi Aboulfotouh, Hany Hassan Kamel, Hashem Fares Mohammed, Haitham A. Bahaa, Reham R. Elkateeb, Alaa Gamal Abdelazim, Mohamed Ahmed Zeen El-Din, Hossam El-Din Shawki

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

Placenta previa is major obstetric surgical risk as it is associated with higher percentage of intraoperative and postpartum hemorrhage (PPH), increased requirement of blood transfusion and further surgical procedures. The current study aimed to evaluate uterine artery ligation prior to uterine incision as a procedure to minimize blood loss during cesarean section in patients with central placenta previa.

Methods

One hundred and four patients diagnosed with central placenta previa antenatally and planned to have elective caesarean section were recruited from the antenatal clinic at Minia Maternity University hospital. Patients were randomly allocated into either ligation group or control group.

Results

Both groups were similar regarding demographic features and preoperative risk factors for bleeding. The intraoperative blood loss was significantly lower in the ligation group as compared with the control group (569.3 ± 202.1 mL vs. 805.1 ± 224.5 mL respectively, p = 0.002). There was a significant increase in the requirement for blood transfusion in the control group as compared with the ligation group (786 ± 83 mL vs. 755 ± 56 mL respectively, p = 0.03) Three cases in the control group required further surgical interventions to control intraoperative bleeding, while no cases in the ligation required further surgical techniques and that was statistically significant (p = 0.001).

Conclusion

Uterine artery ligation prior to uterine incision may be a helpful procedure to minimize intraoperative and postpartum blood loss in cases with central placenta previa.

Trial registration

Retrospectively registered in ClinicalTrials.gov Identifier: NCT02002026- December 8, 2013.
Appendix
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Metadata
Title
RETRACTED ARTICLE: The effect of uterine artery ligation in patients with central placenta pevia: a randomized controlled trial
Authors
Ahmad Sameer Sanad
Ahmad E. Mahran
Mahmoud Elmorsi Aboulfotouh
Hany Hassan Kamel
Hashem Fares Mohammed
Haitham A. Bahaa
Reham R. Elkateeb
Alaa Gamal Abdelazim
Mohamed Ahmed Zeen El-Din
Hossam El-Din Shawki
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1989-5

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