Hysterectomy for placenta accreta; methods for gross and microscopic pathology examination

Dannheim, Katelyn; Shainker, Scott A.; Hecht, Jonathan L.

doi:10.1007/s00404-015-4006-5

Cited by 62 publications

(40 citation statements)

References 13 publications

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“…The outcome was a pathologic diagnosis of PAS. 6,15 The methods for identifying deliveries with a diagnosis of PAS have been previously described. 8 Briefly, deliveries were identified using the pathology department clinical database, and manually reviewed for confirmation and additional information, including known risk factors for PAS.…”

Section: Methodsmentioning

confidence: 99%

Placenta Accreta Spectrum: In Vitro Fertilization and Non-In Vitro Fertilization and Placenta Accreta Spectrum in a Massachusetts Cohort

et al. 2020

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Objective The incidence of placenta accreta spectrum (PAS) has been increasing in the United States. In addition, there has also been an increase in the utilization of in vitro fertilization (IVF). The IVF pregnancies confer an increased risk of adverse obstetric and neonatal outcomes, but there is limited data on whether IVF is associated with PAS. The aim of this study is to assess the association between IVF and the risk of PAS. Study Design This was a retrospective cohort study of deliveries from January 1, 2013 to August 1, 2018 at a tertiary hospital in the Massachusetts. IVF pregnancies were compared with non-IVF pregnancies, and PAS diagnosis was confirmed by histopathology reports. Hospital administrative data and medical record review were used, and supplemented with data from birth certificates from the Massachusetts Department of Public Health. Results We identified 28,344 pregnancies that met inclusion criteria, of which 1,418 (5.0%) were IVF pregnancies. The overall incidence of PAS was 0.4% (2.2% in the IVF group and 0.3% in the non-IVF group). Women who underwent IVF had 5.5 times the risk of PAS (95% confidence interval [CI]: 3.4–8.7) compared with women in the non-IVF group, adjusted for maternal age, nulliparity, and year of delivery (Table 5). Compared with women in the non-IVF group, the IVF group had fewer prior cesarean deliveries (22.6 vs. 64.2%) and a lower prevalence of placenta previa (19.4 vs. 44.4%). Conclusion Women with an IVF pregnancy carry an increased risk of PAS compared with non-IVF. Among women who underwent IVF, there was a lower prevalence of prior cesarean deliveries and placenta previa. Future work is needed to identify the mechanism of association for this increased risk as well as a reliable tool for antenatal detection in this cohort of women. Key Points

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Section: Methodsmentioning

confidence: 99%

Placenta Accreta Spectrum: In Vitro Fertilization and Non-In Vitro Fertilization and Placenta Accreta Spectrum in a Massachusetts Cohort

et al. 2020

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“…Dannheim et al . recently proposed methods of gross dissection, microscopic examination, and reporting of hysterectomy specimens containing PAS disorders.…”

Section: Depth Of Villous Invasion Distribution In Pas Disordersmentioning

confidence: 99%

FIGO consensus guidelines on placenta accreta spectrum disorders: Epidemiology,

Manag

Jauniaux

Chantraine

et al. 2018

Intl J Gynecology & Obste

347

284

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“…Ideally, the standard of reference for the different grading of PA is confirmation of the final histology after hysterectomy has been performed. The quality of the pathological examination is essential to provide feedback on the accuracy of the prenatal diagnosis of PA. A standardized method for gross and microscopic pathological examination of hysterectomy specimens with PA has recently been proposed 121 , and likewise the standardized ultrasound descriptions of abnormally invasive placenta 22,24 should be used in the study design of further studies. Hysterectomy is not always clinically required as the bleeding can be avoided or controlled using conservative methods.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Accreta placentation: a systematic review of prenatal ultrasound imaging and grading of villous invasiveness

Jauniaux

Collins

Jurkovic

et al. 2016

American Journal of Obstetrics and Gynecology

179

226

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The wide heterogeneity in terminology used to describe the grades of accreta placentation and differences in study design limits the evaluation of the accuracy of ultrasound imaging in the screening and diagnosis of placenta accreta. This review emphasizes the need for further prospective studies using a standardized evidence-based approach including a systematic correlation between ultrasound signs of placenta accreta and detailed clinical and pathologic examinations at delivery.

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Hysterectomy for placenta accreta; methods for gross and microscopic pathology examination

Abstract: Through regular review of such quality measures pathologists can give feedback on the quality of surgical planning and use of imaging.

Cited by 62 publications

References 13 publications

Placenta Accreta Spectrum: In Vitro Fertilization and Non-In Vitro Fertilization and Placenta Accreta Spectrum in a Massachusetts Cohort

Placenta Accreta Spectrum: In Vitro Fertilization and Non-In Vitro Fertilization and Placenta Accreta Spectrum in a Massachusetts Cohort

FIGO consensus guidelines on placenta accreta spectrum disorders: Epidemiology,

Accreta placentation: a systematic review of prenatal ultrasound imaging and grading of villous invasiveness

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