Placenta previa presents a significant challenge in obstetric care due to its abnormal implantation of the placenta over or near the internal cervical os. This condition not only elevates the risk of antepartum hemorrhage but also demands meticulous prenatal monitoring and precise delivery planning. The global rise in the incidence of placenta previa is largely attributed to escalating rates of cesarean deliveries and other uterine surgeries, which predispose patients to placental abnormalities. In severe scenarios, placenta previa may coexist with placenta accreta spectrum (PAS) disorders, complicating the surgical management due to the risk of massive hemorrhage, peripartum hysterectomy, and increasing maternal morbidity. To mitigate these risks, there is a pressing need for a comprehensive surgical approach, inclusive of rigorous preoperative assessment, advanced intraoperative techniques, and potential multidisciplinary team collaboration.
The primary aim of this Research Topic is to explore recent advancements in the surgical management of placenta previa, with an emphasis on innovative techniques that enhance maternal safety, minimize intraoperative blood loss, and expedite postoperative recovery. By soliciting insights from experts in obstetrics, gynecologic surgery, and interventional radiology, this collection aspires to identify best practices and innovative strategies for adoption in clinical scenarios. Furthermore, the Research Topic underscores the critical role of multidisciplinary approaches, integrating expertise from anesthesiology, neonatology, and critical care in managing these complex cases. By addressing existing gaps in surgical protocols and evaluating emerging technologies, the endeavor seeks to foster the development of standardized, evidence-based guidelines that enhance surgical outcomes in women with placenta previa.
The scope of this Research Topic encompasses a broad spectrum related to the surgical management of placenta previa. Contributions may focus on:
o Preoperative planning, including imaging techniques for precise diagnosis and risk assessment; o Intraoperative interventions such as modified cesarean section techniques and stepwise hemostatic strategies; o Conservative management approaches in complex cases; o The role of interventional radiology, including preoperative balloon occlusion and intraoperative embolization; o Novel surgical innovations and technologies; o Efficacy and impact of multidisciplinary team management; o Strategies for reducing the need for hysterectomy in PAS disorder cases.
Submissions may include original research, systematic reviews, and expert opinions aimed at refining surgical techniques and improving maternal and neonatal outcomes in these high-risk cases.
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Article types
This Research Topic accepts the following article types, unless otherwise specified in the Research Topic description:
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