Document Detail


Multiple repeat cesareans and the threat of placenta accreta: incidence, diagnosis, management.
MedLine Citation:
PMID:  21645796     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Placenta accreta is a significant source of obstetric morbidity and mortality. Its incidence is increasing as a direct consequence of the increasing cesarean section rate, which reflects increased rates of maternal obesity, increased numbers of multiple gestations secondary to assisted reproductive technology, physician concern about litigation for adverse obstetric outcome, and a decline in the use of operative vaginal delivery for both cephalic and breech presentations. Optimum management for most cases requires elective cesarean hysterectomy, ideally performed at about 34 weeks' gestation. A multidisciplinary approach produces the best outcomes.
Authors:
Andrew D Hull; Thomas R Moore
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Publication Detail:
Type:  Journal Article     Date:  2011-04-13
Journal Detail:
Title:  Clinics in perinatology     Volume:  38     ISSN:  1557-9840     ISO Abbreviation:  Clin Perinatol     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  285-96     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Division of Perinatal Medicine, Department of Reproductive Medicine, University of California San Diego, 200 West Arbor Drive #8433, La Jolla, San Diego, CA 92103-8433, USA.
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