A Review of Placenta Accreta at Aberdeen Maternity Hospital, Scotland

Mahmood, T. A.; Kok, Kim-Lian

doi:10.1111/j.1479-828x.1990.tb03236.x

Cited by 8 publications

(1 citation statement)

References 3 publications

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“…Since in this study both comparison groups have placenta previa, the increased incidence of placenta accreta in scarred uteri is an independent risk factor. This has the implication that scarring C Acta Obstet Gynecol Scand 77 (1998) of the uterus even in the absence of placenta previa may lead to placenta accreta and may explain the increased incidence of placenta accreta following previous myomectomy, uterine infection, or abortion (7,8). A uterine scar in the lower segment may attract a low implantation of the placenta (9) or failure of differential growth of a scarred lower uterine segment may give rise to placenta previa (10).…”

Section: Discussionmentioning

confidence: 99%

Risk factors and morbidity in patients with placenta previa accreta compared to placenta previa non-accreta

Zaki¹,

Bahar²,

Ali³

et al. 1998

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

Risk factors and morbidity in patients with placenta previa accreta compared to placenta previa non-accreta

Zaki¹,

Bahar²,

Ali³

et al. 1998

Acta Obstet Gynecol Scand

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Placenta accreta: Postpartum diagnosis and a potentially new mode of management using real‐time ultrasonography

Petrović

Zupanić

Rukavina

et al. 1994

J of Clinical Ultrasound

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The worldwide use of antepartal real-time ultrasonography in fetal b i~m e t r y l -~ and localization of normal and low-lying has been known for a long time. A few reports of characteristic antepartum ultrasound findings of a very rare placenta accreta were published r e~e n t l y .~,~ In addition, Shapiro and his co-workers reported the first case of postpartum ultrasonographic diagnosis of placenta accreta, which clinical management ended by total abdominal hysterectomy in p~e r p e r i u m .~ Other authors also agree on a postpartum hysterectomy because of uncontrollable hemorrhage due to placenta accreta."In this report we describe the localization of retained placental tissue and the successful control of its instrumental removal by real-time ultrasonography in a case of postpartum bleeding after an unsuccessful manual evacuation of placenta accreta. The possibilities of ultrasonography in the detection of placenta accreta and its usefulness in cases of postpartum instrumental intervention within the uterine cavity are discussed. CASEREPORTA 35-year-old gravida 4 was admitted to our delivery room after an amnioscopic finding of meconium-stained amniotic fluid. Her family and medical histories were unremarkable. In her obstetric history, apart from two normal deliveries, there was an artificial termination of early pregnancy. The ultrasound examination revealed a living male fetus at term in vertex presentation with normal biometry and morphology. The placenta was localized in the fundus and in the left cornual area of the uterus. Four hours after prostaglandin induction of labor, she delivered vaginally a male infant weighing 2970 g, with Apgar scores of 10 at 1 and 5 minutes.Because the placenta did not deliver spontaneously in the next 40 minutes, we tried, after bladder catheterization, to deliver it by cord traction, but were unsuccessful. Moderate bleeding then started. We decided to evacuate the retained placenta by manual removal under intravenous general anesthesia. The placenta was firmly adherent to contiguous myometrial tissue; therefore, we were only able to tear and evacuate placental tissue in small pieces. With regard to the quantity of evacuated placental fragments, it was obvious that the placenta was not removed completely. Moreover, bleeding intensified. It was decided t o visualize and localize precisely the residual placental tissue using real-time ultrasonography after several unsuccessful attempts of blind instrumental evacuations of retained placental cotyledons. Typical hyperechoic and heterogeneous echoes of placental tissue were demonstrated in the fundus and in the left cornual area of the uterus, where the attached myometria1 layer appeared extremely thin (only 8 mm) (Figures 1A and 1B). No retroplacental hypoechoic/anechoic zone could be seen. The adjacent myometrial tissue with a homogeneous ultrasonic appearance had a normal thickness of 50 mm to 60 mm.We decided to remove the firmly adherent placental fragments instrumentally under ultrasound control, at surgical readiness i...

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Sonographische und farbdopplersonographische Prädiktion geburtshilflich relevanter plazentarer Störungen

Krapp

Axt-Fliedner

2005

Gynäkologe

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M. Krapp · R. Axt-Flied nerBe reich Prä na tal me di zin und Spe zi el le Ge burts hil fe, Kli nik für Frau en heil kun de und Ge burts hil fe, Cam pus Lü beck des Uni ver si täts kli ni kums Schles wig-Hol stein So no gra phi sche und farbdoppler so no gra phi sche Prä dik ti on ge burts hilf lich re levan ter pla zen ta rer Stö run gen Gynäkologe 2005 · 38:522-528 On li ne pub li ziert: 7. Juni 2005 © Sprin ger Me di zin Ver lag 2005Bis Ende der 1960er Jah re ba sier te die Di ag no se stel lung pla zen ta rer Pa tho lo gi en zu meist auf kli ni schen Be fun den. Nach Ein füh rung der B-Bild-und Farb dopp lerso no gra phie ist es mög lich, die Pla zen ta und de ren Ge fäße so wie die Na bel schnur wäh rend Schwan ger schaft und Ge burt zu be ur tei len. Ob wohl die Kom pli ka tio nen, die aus pla zen ta ren Pa tho lo gi en er wachsen kön nen, schwer wie gend, sel ten auch töd lich für Mut ter und Kind sein kön nen, wer den die Ein satz mög lich kei ten der BBild-und Farb dopp ler so no gra phie in den meis ten Lehr bü chern über haupt nicht oder nur am Ran de er ör tert.Die ser Ar ti kel soll einen Über blick geben, über die ak tu el len Mög lich kei ten in der Prä dik ti on re le van ter pla zen ta rer Stö-run gen. Im Be son de ren wer den La geanoma li en der Pla zen ta (Pla cen ta prae via), der pla zen ta ren Ge fäße (Vasa prae via) und des Na bel schnur an sat zes (In ser tio ve la men to sa) so wie In va si ons an oma li en (Pla cen ta ac cre ta) er ör tert.

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A Review of Placenta Accreta at Aberdeen Maternity Hospital, Scotland

Cited by 8 publications

References 3 publications

Risk factors and morbidity in patients with placenta previa accreta compared to placenta previa non-accreta

Risk factors and morbidity in patients with placenta previa accreta compared to placenta previa non-accreta

Placenta accreta: Postpartum diagnosis and a potentially new mode of management using real‐time ultrasonography

Sonographische und farbdopplersonographische Prädiktion geburtshilflich relevanter plazentarer Störungen

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