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首页> 外文期刊>Best practice & research:Clinical obstetrics & gynaecology >Conservative approach: Intentional retention of the placenta
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Conservative approach: Intentional retention of the placenta

机译：保守方法：故意保留胎盘

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Intentional retention of the placenta (IRP), or & lsquo;conservative & rsquo; treatment or management, entails opening the uterus, delivering the baby, tying and cutting the umbilical cord at its placental insertion site, leaving the placenta in the uterus and waiting for its complete spontaneous resorption in women with placenta accreta spectrum (PAS). The uterine preservation rate with this approach is about 78%, and severe maternal morbidity about 6%; these rates are respectively lower and higher in subgroups of women with placenta percreta. IRP has become a recommended option for women with PAS reluctant to undergo caesarean-hysterectomy and wanting to preserve their fertility, after appropriate information about the uterine preservation rate, but also the risk of a subsequent emergency hysterectomy due to unpredictable haemorrhage and/or infection, and the need for follow-up with regular visits for several months. Some authorities also recommend IRP when hysterectomy is at very high risk of surgical complications.
机译：故意滞留胎盘（IRP），或&lsquo；保守派；治疗或管理，包括打开子宫、分娩、在胎盘插入处捆绑和切割脐带、将胎盘留在子宫内，并等待植入性胎盘谱系（PAS）的妇女完全自发吸收。这种方法的子宫保存率约为78%，重度产妇发病率约为6%；在胎盘过多的妇女亚组中，这些比率分别较低和较高。对于不愿意接受剖腹产子宫切除术并希望保留生育能力的PAS患者，IRP已成为一种推荐的选择，在获得有关子宫保留率的适当信息后，IRP还可以考虑由于不可预测的出血和/或感染，以及需要定期随访数月而导致随后紧急子宫切除术的风险。当子宫切除术有很高的手术并发症风险时，一些权威机构也建议采用IRP。

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