Management of placenta accreta: Morbidity and outcome

Bretelle, Florence; Courbière, Blandine; Mazouni, Chafika; Agostini, Aubert; Cravello, L.; Boubli, L.; Gamerre, M.; D’ercole, C.

doi:10.1016/j.ejogrb.2006.07.050

Cited by 228 publications

(156 citation statements)

References 16 publications

Supporting

Mentioning

124

Contrasting

Unclassified

Order By: Relevance

“…The most common are massive and/or persistent hemorrhage, cystotomy ureteral damage and bowel injury These complications often result in ICU admission (25%-50% of cases). 19 Similarly in our study 86% of the patients suffered from postpartum hemorrhage with 43% landing in haemorrhagic shock. Sepsis was more common in cases of conservative management and 21% patients were transferred to ICU (Table 9).…”

supporting

confidence: 73%

Placenta accreta: the silent invader

Dwivedi

Kumar

et al. 2016

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

supporting

confidence: 73%

Placenta accreta: the silent invader

Dwivedi

Kumar

et al. 2016

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

“…[29][30][31] The cause and management of PPH and the postpartum outcome were retrieved from the hospital records for all women. The definitions of primary and secondary PPH were as follows: PPH occurring within the first 24 hours, and 24 hours to 6 weeks following delivery, respectively.…”

Section: Methodsmentioning

confidence: 99%

Fertility and pregnancy following pelvic arterial embolisation for postpartum haemorrhage

Sentilhes

Gromez

Clavier

et al. 2009

BJOG

View full text Add to dashboard Cite

Objectives To determine and compare the fertility and pregnancy outcomes following embolisation with or without uterine-sparing surgery for postpartum haemorrhage, and to attempt to identify specific risk factors associated with an increased likelihood of intrauterine synechia.Design Retrospective study.Setting University-affiliated tertiary referral centre.Population All consecutive women who had an embolisation with or without uterine-sparing surgery (vessel ligation and/or uterine compression) for postpartum haemorrhage between 1994 and 2007 were included.Methods Data were retrieved from medical files and telephone interviews.Main outcome measure(s) Fertility and pregnancy outcomes, synechia.Results Data were available for 68 of the 85 women (80%) included in the study. Among the 15 women who complained of amenorrhoea or decreased flow of menstruation, synechia was found in all those who decided to undergo an ambulatory hysteroscopy (n = 8). Seventeen women had 26 pregnancies with 19 term deliveries, one ectopic pregnancy, two abortions and four miscarriages. The clinical courses of the 19 complete gestations were uneventful, but postpartum haemorrhage recurred in six women (31.6%) (caused by placenta accreta in two women). Fertility and pregnancy outcomes did not differ between women who had undergone embolisation versus both embolisation and a uterine-sparing surgical procedure. The occurrence of synechia was significantly associated with a higher rate of placenta accreta/ percreta (P < 0.001) and postpartum fever above 38.5°C (P = 0.04).Conclusions Embolisation, whether or not associated with a uterine-sparing surgical procedure, for postpartum haemorrhage does not appear to compromise a woman's subsequent fertility and obstetric outcome. Nevertheless, these women should be considered at high risk for postpartum haemorrhage during future deliveries.

show abstract

“…The technique is associated with a higher rate of massive postpartum hemorrhage and subsequent peripartum hysterectomy than the conservative approach. 8,9 Therefore, this option should be abandoned when other procedures are available. 10 2) Cesarean section hysterectomy: This procedure consists of performing a hysterectomy after the birth of the child without attempting removal of the placenta when placenta accreta is strongly suspected antenatally or after an attempted placental removal when the diagnosis of placenta accreta is not made until during delivery.…”

Section: Discussionmentioning

confidence: 99%