| Fertility and obstetric outcome after conservative management of placenta accreta. | |
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MedLine Citation:
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PMID: 20152971 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the fertility and obstetric outcomes after conservative management of placenta accreta. METHODS: A retrospective observational cohort study of all identified cases of placenta accreta from 1993 to 2007 in 2 tertiary university hospitals in France. For patients treated conservatively, maternal and fetal morbidity, reproductive function, fertility, and subsequent pregnancies were recorded. RESULTS: During the study period, 46 patients were treated by conservative management; 6 patients underwent a secondary hysterectomy. Of the remaining 40 patients, 35 were followed up for a median of 65 months (range 18-156 months). Patients resumed their menstrual cycles after a median of 130 days (range 48-176 days). Menses were irregular in 11 patients (31%), but none had amenorrhea. Twelve of the 14 patients desiring another pregnancy achieved a total of 15 pregnancies; 2 patients had recurrent placenta accreta. Five spontaneous abortions and 1 termination of pregnancy occurred during the first trimester. The median term at delivery was 37 weeks (range, 35-40 weeks). Four patients delivered prematurely. CONCLUSION: Conservative management of placenta accreta can preserve fertility, although the risk of recurrent placenta accreta appears to be high. |
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Authors:
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Magali Provansal; Blandine Courbiere; Aubert Agostini; Claude D'Ercole; Léon Boubli; Florence Bretelle |
Publication Detail:
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Type: Journal Article Date: 2010-02-12 |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 109 ISSN: 1879-3479 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-13 Completed Date: 2010-07-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 147-50 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, La Conception University Hospital, Marseille, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section / adverse effects Cohort Studies Female Fertility* France / epidemiology Hospitals, University Humans Hysterectomy / adverse effects Infertility, Female / etiology, prevention & control* Menstruation Placenta Accreta / etiology, therapy* Pregnancy Retrospective Studies Treatment Outcome Young Adult |
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