Maternal Morbidity Associated With Multiple Repeat Cesarean Deliveries

Abstract

II-2.

Placenta accreta is associated with IVF pregnancies: a retrospective chart review

“…The risk of PA increases progressively in correlation with the number of repeated caesarean deliveries. 4,5 Other significant independent risk factors include coexistent placenta previa and maternal age. 5,6 Multiparity, previous uterine curettage and previous uterine surgery other than caesarean sections were found to be risk factors in some studies, whereas no significant association between these factors and PA was found in others.…”

Mode of anesthesia and clinical outcomes of patients undergoing Cesarean delivery for invasive placentation: a retrospective cohort study of 50 consecutive cases

“…Furthermore, the risk increases substantially (to 67%) with the presence of placenta previa, particularly if there is a history of four previous CDs with concurrent previa. 13,14 Nevertheless, recent evidence shows a change in the epidemiology of invasive placentation. Bailit et al 1 found morbidly adherent placenta in 18% of nulliparous women and 37% in women with no prior CD.…”

Delayed bleeding after prophylactic bilateral internal iliac artery balloon occlusion in elective caesarean hysterectomy for the management of placenta accreta

“…Silver et al, reported that in the presence of placenta previa, the risk of placenta accrete was 3%, 11%, 40%, 61%, and 67%for the first, second, third, fourth and fifth or greater repeat caesarean deliveries, respectively. 7 Despite rapidly evolving diagnostic imaging and surgical technologies, and growing of surgical expertise, MAP remains an important cause of maternal morbidity and mortality, especially related with life-threatening postpartum haemorrhage with a 7% risk of maternal mortality. 1 Although the choice treatment for placenta accrete is puerperal hysterectomy, it involves greater risk of intraoperative haemorrhage.…”