Document Detail


Placenta accreta: depth of invasion and neonatal outcomes.
MedLine Citation:
PMID:  22463851     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: The purpose of this study was to compare the risk of adverse neonatal outcomes between women with placenta accreta and placenta increta or percreta. Methods: This was a single institution retrospective cohort study of women with abnormal placentation (placenta accreta, increta, and percreta) who delivered from 1982-2002. Cases were divided into superficial invasion (placenta accreta) and deep invasion (placenta increta or percreta), and compared. The primary outcomes studied were gestational age at delivery, birth weight, and size for gestational age. Result: 103 viable pregnancies with abnormal placentation were observed (1.6/1000 pregnancies). Cases of deep invasion had higher parity and were more likely to have had a prior cesarean delivery. The mean gestational age at delivery was 33 5/7 weeks with deep placental invasion and 35 2/7 weeks in the superficial invasion group (p=0.18). Rates of preterm delivery were 64.7% and 52.3% (p=0.43) and low birthweight were 24% and 29% (p=0.76) in the deep and superficial invasion groups respectively. There were no differences in the remaining outcomes. Conclusions: Neonatal outcomes of pregnancies complicated by placenta increta and percreta are not different than those with placenta accreta.
Authors:
Emily L Seet; Helen H Kay; Serena Wu; Mishka Terplan
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-2
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA.
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