The risk of placenta accreta following primary cesarean delivery
| العنوان: | The risk of placenta accreta following primary cesarean delivery |
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| المؤلفون: | Dan Tirosh, Gil Zeevi, Reli Hershkovitz, Joel Baron, Maayan Yitshak Sade, Adi Segal |
| المصدر: | Archives of Gynecology and Obstetrics. 297:1151-1156 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Placenta accreta, Population, Placenta Accreta, Hysterectomy, Gee, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Placenta, medicine, Elective Cesarean Delivery, Humans, University medical, 030212 general & internal medicine, Israel, Cesarean delivery, education, reproductive and urinary physiology, Retrospective Studies, education.field_of_study, Labor, Obstetric, 030219 obstetrics & reproductive medicine, Cesarean Section, Obstetrics, business.industry, Obstetrics and Gynecology, Retrospective cohort study, General Medicine, medicine.disease, medicine.anatomical_structure, Elective Surgical Procedures, Female, business |
| الوصف: | To (a) evaluate the risk for placenta accreta following primary cesarean section (CS), in regard to the stage of labor, the cesarean section was taken (elective prelabor vs. unplanned during labor); and (b) investigate whether the association between placenta accreta and maternal and neonatal complications is modified by the type of the primary CS. In a population-based retrospective cohort study, we included all singleton deliveries occurred in Soroka University Medical Center between 1991 and 2015, of women who had a history of a single CS. The deliveries were divided into three groups according to the delivery stage the primary CS was carried out: ‘Unplanned 1’ (first stage—up to 10 cm), ‘Unplanned 2’ (second stage—10 cm) and ‘Elective’ prelabor CS. We assessed the association between the study group and placenta accreta using logistic generalized estimation equation (GEE) models. We additionally assessed maternal and neonatal complications associated with placenta accreta among women who had elective and unplanned CS separately. We included 22,036 deliveries to 13,727 women with a history of one CS, of which 0.9% (n = 207) had placenta accreta in the following pregnancies: 12% (n = 25) in the ‘Unplanned 1’ group, 7.2% (n = 15) in the ‘ Unplanned 2’ group and 80.8% (n = 167) in the ‘elective’ group. We found no difference in the risk for subsequent placenta accreta between the groups. In a stratified analysis by the timing of the primary cesarean delivery, the risk for maternal complications, associated with placenta accreta, was more pronounced among women who had an unplanned CS (OR 27.96, P |
| تدمد: | 1432-0711 0932-0067 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a1a5804aa4c02684ffa4ce50a532ef22 https://doi.org/10.1007/s00404-018-4698-4 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....a1a5804aa4c02684ffa4ce50a532ef22 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14320711 09320067 |
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