Farshchian Joseph, Castaneda Martin
Surgery, Florida Atlantic University College of Medicine, Boca Raton, USA.
Obstetrics and Gynaecology, Bethesda Hospital East, Boynton Beach, USA.
Cureus. 2020 Jun 9;12(6):e8525. doi: 10.7759/cureus.8525.
The risk of postpartum hemorrhage (PPH) and placental adhesion anomalies, including placenta previa, may be increased in pregnancies conceived by in vitro fertilization (IVF) and other forms of assisted reproduction technologies. The uterine compression suture, known as the "uterine sandwich method," may be useful in pregnancies complicated by placenta previa. We report an unusual case of placenta previa complicated by velamentous cord insertion, which was treated by a B-Lynch suture, a Bakri balloon tamponade, and vaginal packing.
体外受精（IVF）及其他形式的辅助生殖技术受孕的妊娠中，产后出血（PPH）和胎盘粘连异常（包括前置胎盘）的风险可能会增加。子宫压迫缝合术，即所谓的“子宫三明治法”，可能对并发前置胎盘的妊娠有用。我们报告一例罕见的前置胎盘合并帆状脐带附着病例，该病例采用B-Lynch缝合术、Bakri球囊填塞术及阴道填塞进行治疗。
