Outcomes of subsequent pregnancies after conservative treatment for placenta accreta.
Int J Gynaecol Obstet
; 127(2): 206-10, 2014 Nov.
Article
en En
| MEDLINE
| ID: mdl-25069629
ABSTRACT
OBJECTIVE:
To estimate the association between conservative treatment for placenta accreta and subsequent pregnancy outcomes.METHODS:
In a retrospective study, data were analyzed on women who received conservative treatment for placenta accreta (removal of the placenta with uterine preservation) at a tertiary hospital in Jerusalem, Israel, between 1990 and 2000. Data were collected on subsequent pregnancies and neonatal outcomes until 2010, and compared with those from a matched control group of women who did not have placenta accreta.RESULTS:
A total of 134 women were included in both groups. Placenta accreta occurred in 62 (22.8%) of 272 subsequent deliveries in the study group for which data were available and 5 (1.9%) of 266 in the control group (relative risk [RR] 12.13; 95% confidence interval [CI] 4.95-29.69; P<0.001). Early postpartum hemorrhage occurred in 23 (8.6%) of 268 deliveries in the study group and 7 (2.6%) of 268 in the control group (RR 3.29; 95% CI 1.43-7.53; P<0.001). The odds ratio for recurrent placenta accreta in subsequent deliveries in the study group was 15.41 (95% CI 6.09-39.03; P<0.001).CONCLUSION:
Although subsequent pregnancies after conservative treatment for placenta accreta were mostly successful, the risk of recurrent placenta accreta and postpartum hemorrhage is high in future deliveries.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Placenta Accreta
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Complicaciones del Embarazo
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Resultado del Embarazo
Tipo de estudio:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Int J Gynaecol Obstet
Año:
2014
Tipo del documento:
Article