Effect of Uterine Artery Ligation Prior to Uterine Incision in Cases of Placenta Previa Complete Centralis

Background: A hemorrhage of above 500 mL or a cesarean section with more than 1000 mL within 24 hours of delivering a fetus is considered a postpartum hemorrhage (PPH). Aim and objectives: To determine whether or not uterine artery ligation reduced blood loss following caesarean surgery. Patients and methods: This prospective interventional case control research included 60 subjects with Antenatal diagnosis of placenta previa who were selected from attendees of Obstetrics and Gynecology clinics of Al Azhar University Hospitals. Results: There was no significant variation among the two groups as regards preoperative hemoglobin level, operative time, postoperative, hemoglobin levels, and need for blood transfusion p>0.05, but there was significant variation as regards intraoperative blood loss p= 0.01704. Conclusion: Ligating the uterine artery before making the uterine incision affects the amount of blood loss after a caesarean section in cases of placenta previa complete centrally. In patients who have central placenta previa and are scheduled to undergo elective CS, ligating the uterine artery before making the uterine incision might be an efficient way to lower the amount of blood lost during surgery.