Real increasing incidence of hysterectomy for placenta accreta following previous caesarean section

Higgins, Mary; Monteith, Cathy; Foley, Michael R.; O’Herlihy, Colm

doi:10.1016/j.ejogrb.2013.08.030

Cited by 107 publications

(82 citation statements)

References 13 publications

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“…59,60 Regardless of the incidence of accreta, it is clear that prior cesarean delivery and especially multiple cesarean deliveries are major risk factors. [60][61][62][63] An Irish study noted an increasing rate of accretas specifically in women with prior cesarean deliveries. 63 A large multicenter U.S. cohort study noted an increasing risk of placenta accreta with increasing numbers of cesarean deliveries.…”

Section: Placenta Accreta Backgroundmentioning

confidence: 99%

Abnormal Placentation

Silver¹

2015

Obstetrics &Amp; Gynecology

413

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Placental disorders such as placenta previa, placenta accreta, and vasa previa are all associated with vaginal bleeding in the second half of pregnancy. They are also important causes of serious fetal and maternal morbidity and even mortality. Moreover, the rates of previa and accreta are increasing, probably as a result of increasing rates of cesarean delivery, maternal age, and assisted reproductive technology. The routine use of obstetric ultrasonography as well as improving ultrasonographic technology allows for the antenatal diagnosis of these conditions. In turn, antenatal diagnosis facilitates optimal obstetric management. This review emphasizes an evidence-based approach to the clinical management of pregnancies with these conditions as well as highlights important knowledge gaps.

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Section: Placenta Accreta Backgroundmentioning

confidence: 99%

Abnormal Placentation

Silver¹

2015

Obstetrics &Amp; Gynecology

413

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“…If women with breech presentation have a primary caesarean section in the first pregnancy a large number will have an elective repeat procedure in their second pregnancy. Data [20] regarding increased risk of placenta accrete after CS are concerning.…”

Section: Discussionmentioning

confidence: 99%

External Cephalic Version: A Single Centre Experience

Mahomed¹,

Amaranarayana²,

Ibiebele³

2014

OJOG

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Incidence of caesarean section for breech presentation has increased markedly. External cephalic version (ECV) is effective in reducing non cephalic presentation at births and caesarean section (CS) for breech presentation. Success rates are good but there is increasing need for induction of labour (IOL) as well as for intrapartum CS for reasons that are not clear. The aim of this study was to report the experience with ECV at a single centre where ECVs were performed by or under the guidance of one senior clinician. This was a 7-year retrospective audit of 147 ECVs at a single centre in Queensland. ECV was successful in 53.7%, 34% in nulliparous and 69% in multiparous women. Of the few variables explored, nulliparity was the only variable that was associated with poor success. Among those with successful ECV, 32 (40.5%) had IOL. Intrapartum CS rate in women who had had a successful ECV was 16.5% compared to 11% for the hospital. There was no difference in early neonatal outcome between the groups. We have confirmed a success rate that is comparable with many other studies. Mothers with successful ECV do have a higher IOL and a higher CS rate especially in women whose labour is induced. We suggest a need to look at some novel methods to increase uptake further and to improve success rates in nulliparous women.

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“…In addition to placenta accrete, hysterectomy and ectopic pregnancy are considered as long-term morbidities [8,9].…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of placenta accreta has a positive correlation with CS rate, and this correlation was doubled after the year 2000; hence, the incidence of cesarean hysterectomy is increased [8]. In addition to placenta accrete, hysterectomy and ectopic pregnancy are considered as long-term morbidities [8,9].…”

Section: Introductionmentioning

confidence: 99%

Time interval between delivery of the fetus by cesarean section and placental separation using cord traction in relation to the amount of blood loss

Taha

Azmy

Okasha

et al. 2015

Medical Research Journal

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Objective The aim of this study was to estimate the best time interval needed to start delivering the placenta following fetal delivery in cesarean section (CS) that allows placental delivery with decreased incidence of undue morbidity.Patients and methods This prospective study was conducted on patients attending the Labor Ward, Cairo University Hospital (Egypt). A total of 120 pregnant women who had an indication for elective or emergency CS were studied between October 2009 and May 2010. Women admitted for CS were randomly assigned to one of the four study groups: group A, group B, group C, and group D. The patients were assigned according to the time before beginning cord traction to deliver the placenta after fetal delivery (15, 30, 45, and 60 s, respectively). The primary outcome was the time taken for the placenta to separate, and the secondary outcome measured the morbidity during placental separation. ResultsIn this study, we found that women who had traction on their placentas after 60 s (group D) had the best results in the amount of blood loss from the placental bed (125.36 ± 7.96 ml, n = 30), as well as the least time interval for complete delivery of the placenta (24.7 ± 4.41 s, n = 30), with less complications (16%, n = 30).Conclusion This study suggests that waiting for 1 min after delivery of the fetus before starting cord traction could help in reducing the amount of blood loss from the placental bed. Moreover, this reduces the time interval needed for placental separation after starting cord traction.

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Real increasing incidence of hysterectomy for placenta accreta following previous caesarean section

Cited by 107 publications

References 13 publications

Abnormal Placentation

Abnormal Placentation

External Cephalic Version: A Single Centre Experience

Time interval between delivery of the fetus by cesarean section and placental separation using cord traction in relation to the amount of blood loss

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