Document Detail

Premature rupture of membranes, placenta increta, and hysterectomy in a pregnancy following endometrial ablation.
MedLine Citation:
PMID:  16435009     Owner:  NLM     Status:  MEDLINE    
Endometrial ablation has become a popular method of managing menorrhagia. Pregnancy after endometrial ablation has a high rate of complications. We present the case of a parous woman with a history of endometrial ablation with preterm premature rupture of membranes. Despite the absence of established sonographic markers for abnormal placentation, placenta accreta was noted at the time of cesarean delivery. In women with history of endometrial ablation, the endometrium is not normal and may allow for more aggressive placental invasion or adherence. Consequently, the sonographic indices described for evaluating placenta accreta may not be present. We believe that placentation in women with prior endometrial ablations should be considered extremely high risk for placenta accreta or increta and managed accordingly when preparing for delivery.
B D Hamar; E F Wolff; P H Kodaman; I Marcovici
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  26     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-25     Completed Date:  2006-05-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  135-7     Citation Subset:  IM    
Maternal-Fetal Medicine, Yale University School of Medicine, New Haven, CT 06511, USA.
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MeSH Terms
Catheter Ablation / methods*
Cesarean Section
Combined Modality Therapy
Endometrium / pathology,  surgery*
Fetal Membranes, Premature Rupture / surgery*,  ultrasonography
Follow-Up Studies
Hysterectomy / methods*
Placenta Accreta / surgery*,  ultrasonography
Pregnancy Outcome*
Pregnancy Trimester, Third
Risk Assessment
Ultrasonography, Prenatal / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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