Characteristics | Emergency surgery N = 65 | Planned surgery N = 403 | Total N = 468 | p-value | ||
---|---|---|---|---|---|---|
Maternal age (years) | mean ± SD | 33.23 ± 4.52 | 33.25 ± 4.92 | 33.25 ± 4.87 (18–49) | 0.973* | |
 ≥ 35 | 27 (69.2) | 166 (64.8) | 193 (65.4) | 0.592┼ | ||
 < 35 | 12 (30.8) | 90 (35.2) | 102 (34.6) | |||
Pre-pregnancy BMI (kg/m2) | mean ± SD | 20.92 ± 2.47 | 21.87 ± 2.78 | 21.73 ± 2.75 (15.56 -33.29) | 0.010* | |
Parity (times) | mean ± SD | 1.65 ± 0.82 | 1.53 ± 3.22 | 1.54 ± 0.78 (0–6) | 0.260* | |
 ≥ 2 | 35 (53.8) | 181 (44.9) | 216 (46.2) | 0.180┼ | ||
 < 2 | 30 (46.2) | 222 (55.1) | 252 (53.8) | |||
Cesarean scar (times) |  ≥ 2 | 25 (38.5) | 124 (30.8) | 149 (31.8) | 0.217┼ | |
 < 2 | 40 (61.5) | 279 (69.2) | 319 (68.2) | |||
Maternal systemic diseases | Healthy | 30 (46.2) | 229 (56.8) | 259 (55.3) | 0.056┼ | |
Anemia | 22 (33.8) | 108 (26.8) | 130 (27.8) | |||
Pre-eclampsia | 0 (0.0) | 11 (2.7) | 11 (2.4) | |||
Gestational diabetes mellitus | 6 (9.2) | 39 (9.7) | 45 (9.6) | |||
Others | 7 (10.8) | 16 (4.0) | 21 (4.9) | |||
Reason for admission | Asymptomatic | 9 (13.8) | 281 (69.7) | 290 (62.0) |  < 0.0001┼ | |
Abdominal pain | 6 (9.2) | 31 (7.7) | 37 (7.9) | |||
Vaginal bleeding | 50 (76.9) | 91 (22.6) | 141 (30.1) | |||
Hb at admission (g/dL) | mean ± SD | 10.77 ± 1.72 | 11.43 ± 1.30 | 11.33 ± 1.39 (6.80–15.00) | 0.004* | |
Hb at pre-surgery (g/dL) | mean ± SD | 10.69 ± 1.75 | 11.47 ± 1.20 | 11.37 ± 1.31 (6.80–15.00) | 0.001* | |
Hb at discharge (g/dL) | mean ± SD | 8.91 ± 1.50 | 9.52 ± 1.56 | 9.44 ± 1.57 (5.50–14.40) | 0.004* | |
Ureteral double-J insertion | No | 56 (86.2) | 180 (44.7) | 236 (50.4) |  < 0.0001┼ | |
Yes | 9 (13.8) | 223 (55.7) | 232 (49.6) | |||
Location of PASDs on US | Absence of placenta previa | 1 (1.5) | 10 (2.5) | 11 (2.4) | NA | |
Anterior | 31 (47.7) | 188 (46.7) | 219 (46.8) | |||
Posterior | 9 (13.8) | 66 (16.4) | 75 (16.0) | |||
Right lateral | 5 (7.7) | 21 (5.2) | 26 (5.6) | |||
Left lateral | 4 (4.6) | 18 (4.5) | 22 (4.7) | |||
Middle | 15 (23.1) | 100 (24.8) | 115 924.6) | |||
Type of intraoperative PASDs | Accreta | 13 (20.0) | 80 (19.9) | 93 (19.9) | 0.699┼ | |
Increta | 24 (36.9) | 129 (32.0) | 153 (32.7) | |||
Percreta | 28 (43.1) | 194 (48.1) | 222 (47.4) | |||
Time from skin incision to fetal delivery (mins) | mean ± SD | 21.76 ± 17.19 | 28.12 ± 16.19 | 27.23 ± 16.46 (2–95) | 0.011* | |
Operative time duration (mins) | mean ± SD | 133.00 ± 61.00 | 143.36 ± 50.00 | 141.92 ± 51.73 (50–365) | 0.134* | |
EBL (ml) | median | 1200 | 800 | 800 | 0.009** | |
IQR [Q1-Q3] | [600–2450] | [500–1500] | [500–1600] | |||
(min–max) | (200–5300) | (200–6500) | (200–6500) | |||
Intraoperative complication | Absence | 61 (93.8) | 380 (94.3) | 441 (94.2) | NA | |
Presence | Bladder perforation | 4 (6.2) | 16 (4.0) | 20 (4.3) | Â | |
Ureter injury | 0 (0.0) | 3 (0.7) | 3 (0.6) | |||
Rectal/bowel perforation | 0 (0.0) | 3 (0.7) | 3 (0.6) | |||
Large vessel injury | 0 (0.0) | 1 (0.2) | 1 (0.2) | |||
Hospital LOS (days) | mean ± SD | 7.20 ± 2.31 | 6.73 ± 2.06 | 6.80 ± 2.10 (2a-20) | 0.098* | |
Blood transfusion | No | 15 (23.1) | 171 (42.4) | 186 (39.7) | 0.003┼ | |
Yes | 50 (76.9) | 232 (57.6) | 282 (60.3) | |||
Postpartum hemorrhage | Absence | 62 (95.4) | 399 (99.3) | 461 (98.7) | NA | |
Presence | Medical therapy | 2 (3.1) | 1 (0.2) | 3 (0.6) | ||
Relaparotomy for hemostasis | 0 (0.0) | 1 (0.2) | 1 (0.2) | |||
Relaparotomy for secondary hysterectomy | 1 (1.5) | 1 (1.5) | 2 (0.4) | |||
Postoperative infection | Absence | 59 (90.8) | 382 (95.0) | 441 (94.4) | NA | |
Presence | Medical therapy | Â | Â | Â | ||
Relaparotomy without hysterectomy | 0 (0.0) | 1 (0.2) | 1 (0.2) | |||
Relaparotomy with hysterectomy | 0 (0.0) | 1 (0.2) | 1 (0.2) |