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Best Practice & Research. Clinical... Apr 2013In the past decade, the incidence of placenta praevia and placenta accreta has increased and seems to be associated with induced labour, termination of pregnancy,... (Review)
Review
In the past decade, the incidence of placenta praevia and placenta accreta has increased and seems to be associated with induced labour, termination of pregnancy, caesarean section and pregnancy at older age. These factors imply some degree of tissue damage, which can modify the decidualisation process, and produce excessive vascular remodelling. Placenta praevia and accreta are mainly located in the lower segment, a place that predisposes to persistent uterine bleeding because of the development of new vessels and because it is a poorly contractile area of the uterus. The complexity, determined by tissue destruction, newly formed vessels, and vascular invasion of surrounding tissues, warrants multi-disciplinary management. When resective procedures are undertaken, a suitable plan to tackle surgical problems allows better control of bleeding and avoids unnecessary hysterectomies. In cases of placenta accrete, and especially when skills or institutional resources are not available, leaving the placenta in situ may be the best option until definitive treatment is undertaken.
Topics: Cesarean Section; Female; Hemostatic Techniques; Humans; Hysterectomy; Placenta Accreta; Placenta Previa; Postpartum Hemorrhage; Pregnancy; Risk Factors
PubMed: 23127895
DOI: 10.1016/j.bpobgyn.2012.10.003 -
Folia Primatologica; International... 1971
Topics: Animals; Female; Haplorhini; Monkey Diseases; Placenta Previa; Pregnancy; Pregnancy, Animal; United States
PubMed: 4993828
DOI: 10.1159/000155336 -
Southern Medical Journal Apr 1946
Topics: Disease Management; Female; Humans; Placenta; Placenta Previa; Pregnancy
PubMed: 21019694
DOI: 10.1097/00007611-194604000-00005 -
American Journal of Obstetrics and... Jan 1959
Topics: Female; Humans; Placenta Previa; Pregnancy; Research Design
PubMed: 13606173
DOI: 10.1016/0002-9378(59)90269-8 -
American Journal of Obstetrics and... Jul 1960
Topics: Disease Management; Female; Humans; Placenta Previa; Pregnancy
PubMed: 13823857
DOI: 10.1016/s0002-9378(16)36408-0 -
BJOG : An International Journal of... Apr 2016Placenta praevia/accreta is associated with significant maternal morbidity and mortality and is a common cause of obstetric hysterectomy. This paper describes posterior... (Clinical Trial)
Clinical Trial
UNLABELLED
Placenta praevia/accreta is associated with significant maternal morbidity and mortality and is a common cause of obstetric hysterectomy. This paper describes posterior retrograde abdominal hysterectomy, a new surgical technique for caesarean hysterectomy, in 11 women with placenta percreta, increta or accreta There were no intraoperative or postoperative maternal complications, and only one fetus required admission to the neonatal unit, for prematurity. Our technique in placenta praevia/accreta allows easy identification of the vagina and early uterine devascularisation, as well as safe resection of the involved urinary bladder in women with placenta percreta showing bladder penetration. Analytical studies are needed to confirm our findings.
TWEETABLE ABSTRACT
Posterior retrograde abdominal hysterectomy in women with placenta praevia/accreta may enable safer surgery.
Topics: Adult; Cesarean Section; Female; Humans; Hysterectomy; Placenta Accreta; Placenta Previa; Pregnancy; Treatment Outcome
PubMed: 26642997
DOI: 10.1111/1471-0528.13762 -
The Medical Journal of Australia Sep 1981Placenta praevia accreta is a rare life-threatening complication of pregnancy. Four cases are presented from one hospital over a period of 10 years in which there were...
Placenta praevia accreta is a rare life-threatening complication of pregnancy. Four cases are presented from one hospital over a period of 10 years in which there were 36 608 deliveries, an incidence of one in 9152 (0.011%). In all cases there was a successful outcome for both mother and baby, despite different forms of management.
Topics: Adult; Blood Transfusion; Female; Humans; Placenta Accreta; Placenta Previa; Pregnancy; Ultrasonography
PubMed: 7300746
DOI: 10.5694/j.1326-5377.1981.tb100939.x -
American Journal of Obstetrics and... Aug 1954
Topics: Female; Humans; Placenta Previa; Pregnancy
PubMed: 13180576
DOI: 10.1016/s0002-9378(16)38252-7 -
The New England Journal of Medicine Oct 1971
Topics: Adult; Blood Transfusion; Delivery, Obstetric; Female; Humans; Hysterectomy; Placenta Accreta; Placenta Previa; Pregnancy
PubMed: 5570851
DOI: 10.1056/NEJM197110072851514 -
European Journal of Obstetrics,... Dec 2001Previa of a succenturiate placenta is a rare condition. We report two cases of such lesions, which could not be detected by transabdominal ultrasound. When no cause of...
Previa of a succenturiate placenta is a rare condition. We report two cases of such lesions, which could not be detected by transabdominal ultrasound. When no cause of uterine bleeding is detected, previa of a posterior succenturiate lobe should be considered, and transvaginal ultrasound should be performed.
Topics: Abdominal Pain; Adult; Cesarean Section; Emergency Treatment; Female; Humans; Infant, Newborn; Male; Placenta; Placenta Previa; Pregnancy; Pregnancy Outcome; Ultrasonography; Uterine Hemorrhage
PubMed: 11788189
DOI: 10.1016/s0301-2115(01)00385-2