538: Short interval between IUD removal and conception increases risks for hemorrhage and retained placenta

Fox, Karin A.; Wall‐Wieler, Elizabeth; Waldrop, Anne R.; Lyell, Deirdre J.; Davis, Beth R.; Carusi, Daniela

doi:10.1016/j.ajog.2019.11.554

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Intrauterine device (IUD) use has been hypothesized as a risk factor for PAS. A retrospective database review reported an association of recent IUD use with PPH and retained placenta, suggesting a possible connection with PAS [48].…”

Section: Risk Factorsmentioning

confidence: 99%

Prenatal diagnosis of placenta accreta spectrum

Conturie

Lyell

2022

Current Opinion in Obstetrics &Amp; Gynecology

Self Cite

View full text Add to dashboard Cite

Purpose of reviewPlacenta accreta spectrum (PAS) is a major cause of severe maternal morbidity. Perinatal outcomes are significantly improved when PAS is diagnosed prenatally. However, a large proportion of cases of PAS remain undiagnosed until delivery.Recent findingsThe prenatal diagnosis of PAS requires a high index of suspicion. The first step is identifying maternal risk factors. The most significant risk factor for PAS is the combination of a prior caesarean delivery and a placenta previa. Other major risk factors include a prior history of PAS, caesarean scar pregnancy (CSP), uterine artery embolization (UAE), intrauterine adhesions (Asherman syndrome) and endometrial ablation.Ultrasound is the preferred imaging modality for the prenatal diagnosis of PAS and can be highly accurate when performed by a provider with expertise. PAS can be diagnosed on ultrasound as early as the first trimester. MRI may be considered as an adjunct to ultrasound imaging but is not routinely recommended. Recent consensus guidelines outline the ultrasound and MRI markers of PAS.SummaryPatients with major risk factors for PAS warrant dedicated ultrasound imaging with a provider experienced in the prenatal diagnosis of PAS.

show abstract

Section: Risk Factorsmentioning

confidence: 99%