Evaluation of uterine cavity and blood flow after conservative surgical management of placenta previa /accrete (Cross Sectional Study)

Abstract

The aim of the work is aiming at determining the impact on Fertility and pregnancy outcomes of uterine artery ligation or Compression sutures for severe PPH based on a large single-center cohort, The secondary objectives were to compare maternal long term. 4 18 cases continued the follow up at 6 month Two out of 47 cases of the follow up got pregnant after 3 months postpartum by asking them by telephone and confirmed positive pregnancy tests. 6 months postpartum 5 women got pregnant .3 of the 7 cases we could follow up by telephone and they got delivered at GA of 38 w by elective C.S with no recurrence of placenta previa or accrete and no post-operative complications and for luck one of those we followed up at 3 month and moderate adhesions were found in office hysteroscopy and followed her by telephone by asking on her menstrual pattern which was irregular at first for 2months and regulated by hormonal treatment after which she got pregnant and was followed up for recurrence of placenta previa or accrete but her placenta was normal situated and underwent an elective C.S at 38 weeks with no postoperative or intraoperative complications .