Obstetrics and Gynecology International

Research Article

Factors Contributing to Massive Blood Loss on Peripartum Hysterectomy for Abnormally Invasive Placenta: Who Bleeds More?

Table 2

Details of patients with AIP who underwent hysterectomy.
CaseAgeGPNumber of prior CSMode of conceptionPlacental locationDegree of PPPathologyDelivery weekHysterectomyPlacental removalBleeding after partial placental separationIntra-arterial balloonOperative time (min)Time zone of surgeryBlood loss (mL)Birth weight (g)Apgar 1, 5 minSurgical complication
138311NaturalPP, anteriorTotalPercreta34–3Planned−−+373Day6,85029883, 5 
231311NaturalPP, anteriorTotalIncreta34–5Planned−−+219Day6,65621342, 2Bladder injury
336222NaturalPP, anteriorTotalPercreta36–3Planned−−+123Day3,13025305, 7 
435322NaturalPP, anteriorTotalPercreta30–1Planned−−+226Day6,70016121, 3Bladder injury
543772NaturalPP, anteriorTotalAccreta35–1Planned−++184Day4,72023602, 3 
638222NaturalPP, posteriorTotalAccreta36–4Planned−++143Day4,44031525, 8 
730422NaturalPP, anteriorTotalAccreta34–0Planned−−+190Day3,42020183, 4 
838333NaturalPP, anteriorTotalIncreta31–2Planned−−+134Day1,62013223, 6Bladder injury
941433NaturalPP, anteriorTotalPercreta34–5Planned−−−180Night8,50023924, 6 
1043111NaturalPP, anteriorTotalIncreta35–3Planned−+−150Night5,62521621, 8 
1132111NaturalPP, anteriorTotalAccreta33–6Planned−+−156Night5,88022222, 6 
1231311NaturalPP, anteriorTotalAccreta34–5Planned−++119Day2,50023368, 9 
1338100ARTNormal, posteriorNot PPPercreta37–5Emergent++−320Day5,55023228, 9Intestinal injury
1438111NaturalPP, posteriorLow-lyingAccreta38–5Emergent++−175Day7,83023188, 9 
1532211NaturalPP, anteriorTotalAccreta36–1Emergent++−162Day12,01024168, 9 
1635000NaturalPP, anteriorTotalAccreta37–1Emergent++−193Day9,00022705, 6 
1740000ARTPP, posteriorPartialIncreta37–2Emergent++−287Night7,35028488, 9Bladder injury
1845000ARTPP, posterior, Normal, posterior Marginal, not PPAccreta33–3Emergent++−356Night18,0001708, 18408,9/8,9Intestinal injury
AIP: abnormally invasive placenta, ART: assisted reproductive technology, CS: cesarean section, PP: placenta previa, G: gravida, and P: parity.
Partial placental separation occurred during the surgery, which caused bleeding.