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Table 3 Maternal Morbidity

From: Multidisciplinary approach to manage antenatally suspected placenta percreta: updated algorithm and patient outcomes

 

Cesarean Hysterectomy

N = 7

n (%)

Cesarean section prior to

Delayed Hysterectomy

N = 13

n (%)

Delayed Hysterectomy

N = 13

n(%)

Estimated blood loss

2800 [400–4500]

900 [400–1500]

750 [50–2000]

Total number of PRBC units transfused

2[0–10]

0[0–3]

0[0–4]

Total number of patients requiring PRBC

5 (71)

1 (8)

5 (38)

 ≤ 4 units

3 (43)

1 (8)

5 (38)

 4 units

2 (29)

0

0

Infection

 Total

3 (43)

4 (31)

5 (38)

 Endometritis

N/A

2 (15)

N/A

 Wound Infection

3 (43)

0

2 (15)

 Urinary Tract

0

2 (15)

2 (15)

 Vaginal cuff Cellulitis

0

N/A

1 (8)

Coagulopathya

2 (29)

0

2 (15)

Unplanned admission to the ICU

0

0

0

Venous thromboembolism

1 (14)

1 (8)

0

Urologic injury

   

 Total

2 (29)

0

3 (23)

 Ureteral

0

0

1 (8)

 Unintentional cystotomy

2 (29)

0

2 (15)

Interventional radiology complications

0

4 (31)

N/A

 Paresthesia

0

1 (8)

 

 Transient hypoxia

0

1 (8)

 

 Ischemia (uterus)

0

1 (8)

 

 Gluteal ulcer

0

1 (8)

 

Methotrexate toxicity

N/A

0

N/A

Spontaneous delivery of placenta prior to DH

N/A

1 (8)

N/A

Length of hospital stay (days)

3 [3–4]

4 [3–30]

4[1–10]

Hospital readmission

1 (14)

5 (38)

2 (15)

 Wound infection

1 (14)

0

0

 Pain

0

4 (31)

0

 Bleeding

0

1 (8)

0

 Ileus

0

0

1 (8)

 Drainage of Uroma

0

0

1 (8)

Emergency department visit

1 (14)

2 (15)

0

  1. Data are n (%) or median [range]
  2. aCoagulopathy that required correction