Prophylactic uterine artery embolization in second-trimester pregnancy termination with placenta previa and accreta spectrum after prior cesarean delivery: a retrospective cohort study.

ABSTRACT: This study evaluated the efficacy of prophylactic uterine artery embolization (PUAE) during surgical termination of second-trimester pregnancies complicated by placenta previa and placenta accreta spectrum (previa PAS) following prior cesarean delivery (CD). A retrospective cohort study was conducted at a tertiary referral center in China between December 2016 and December 2022. A total of 92 patients were included, with 31 undergoing PUAE (study group) and 61 not (control group). Prophylactic uterine artery embolization did not significantly reduce intraoperative blood loss (p = 0.234) or the rate of peripartum hysterectomy (p = 0.331), but was associated with increased surgical duration, prolonged postoperative hospitalization, and a higher incidence of postoperative fever (p < 0.0001, p

SUBMITTER: Gu Y 

PROVIDER: S-EPMC12487496 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature