Curative effect of cervical lifting suture combined with the improved Hayman suture in pernicious placenta previa under noninterventional conditions: A retrospective cohort study

Abstract

AbstractObjectiveTo propose a novel operative strategy involving cervical lifting suture (CLS) in conjunction with the improved Hayman suture (CLS‐Hayman) to apply in the cesarean section of pernicious placenta previa (PPP) under noninterventional conditions and evaluate the curative effect of the CLS‐Hayman operation by comparing with conventional CLS.MethodsA retrospective cohort study was conducted on 119 pregnant women diagnosed with PPP, including 50 cases in the CLS‐Hayman group and 69 cases in the CLS group. The authors used different statistical methods to compare intraoperative bleeding, 24‐h postpartum bleeding, postoperative complication rates, and uterine involution between the two groups under noninterventional conditions.ResultsThe median intraoperative blood loss was 800 mL in the CLS‐Hayman group versus 1000 mL in the CLS group. The amount of 24‐h postpartum bleeding in the CLS‐Hayman group was lower than that in the CLS group. The complication rates in the two groups were 12% and 27.5%, respectively (P = 0.04). B‐ultrasound or magnetic resonance imaging data showed that the uterine involution was better in the CLS‐Hayman group.ConclusionThe CLS‐Hayman suture achieves the desired intraoperative hemostasis and also stands out for its better prevention of postpartum hemorrhage, better prognosis at follow‐up, and lower complication rates.