Impact of urinary bladder filling on Maternal outcome during surgeries for placenta accreta (randomized controlled trial) at Minia Maternity hospital

Elbadawy, Alshimaa Ahmed; Fakhrey, Abdelbaset; Abdelrahim, Ahmed Rabie; Mohamed, Omar Hafez

doi:10.21608/mjmr.2024.263186.1634

Impact of urinary bladder filling on Maternal outcome during surgeries for placenta accreta (randomized controlled trial) at Minia Maternity hospital

Document Type : Original Article

Authors

¹ Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Egypt.

² Obs gynecology department faculty of medicine Elminia university

³ Department of Obstetrics and Gynecology, Faculty of Medicine,minia university

⁴ Department of Obstetrics and Gynecology, faculty of medicine, Minia University, Minia, Egypt

10.21608/mjmr.2024.263186.1634

Abstract

Background; Placenta accreta spectrum (PAS) is a serious obstetric complication that can cause life-threatening haemorrhage. Previous caesarean sections (CS) and placenta previa are commonly acknowledged as risk factors for aberrant placentation. Preserving the integrity of the bladder boundary is a crucial aspect of the surgical procedure used to address invasive placental diseases. Supplementary techniques, such as infusing the bladder with saline, delivering intravenous dye, are employed to safeguard the bladder or ascertain bladder damage.

The main aim of this study was to evaluate impact of filling the urinary bladder during placenta accreta surgery on maternal outcome.

Subjects and methods; This prospective randomized controlled study involved 100 patients who were diagnosed with placenta accreta and underwent cesarean section between 1st of Jan 2023 and end of Jun 2023. And presented to the Minia Maternity hospital, Egypt. Patients were randomly divided into 2 groups first group included 50 patients without filling the urinary bladder during placenta accreta surgery and second group included 50 patients with filling the urinary bladder.

Result; There was no significant difference between groups as regard demographic data, maternal data, vital signs, and laboratory finding. There was a significant difference between groups as regard incidence of bladder injury, duration of hospital stay, and blood loss.

Conclusion; the current study showed that filling the bladder was effective technique and had significant role on prevention of bladder injury during placenta accreta surgery with lower blood loss and lower need for hospital stay than non-filling group.

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