| The morbidly adherent placenta: an overview of management options. | |
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MedLine Citation:
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PMID: 20804337 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Abstract Morbidly adherent placenta is often associated with severe maternal morbidity. An increased incidence over the recent years may be secondary to the increased cesarean section rates. Identification of patients with risk factors antenatally is essential for the early diagnosis and management. Diagnosis can be achieved by ultrasound or MRI in the majority of cases. Management aims to ensure a safe delivery of the fetus, alongside measures of prevention or effective management of postpartum hemorrhage. When a hysterectomy is performed, a multidisciplinary team with surgical expertise and facilities for transfusion and further interventions including arterial ligation and interventional radiology should be available. The options for conservative treatments offer the potential to preserve fertility but further research with prospective evaluation of the different approaches is necessary. |
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Authors:
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Stergios K Doumouchtsis; Sabaratnam Arulkumaran |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 89 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-31 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: England |
Other Details:
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Languages: eng Pagination: 1126-33 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, St. George's University of London, UK. sdoum@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Balloon Dilatation Blood Loss, Surgical Blood Transfusion Cesarean Section Embolization, Therapeutic Female Fertility Folic Acid Antagonists / therapeutic use Humans Hysterectomy Magnetic Resonance Imaging Methotrexate / therapeutic use Myometrium / pathology Placenta / blood supply, pathology, surgery Placenta Accreta / diagnosis, epidemiology, etiology, therapy* Placenta Previa / therapy Postoperative Care Postpartum Hemorrhage / etiology, therapy Pregnancy Prenatal Care Preoperative Care Risk Factors Ultrasonography, Doppler Ultrasonography, Prenatal Urinary Bladder Diseases / etiology, surgery |
| Chemical | |
Reg. No./Substance:
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0/Folic Acid Antagonists; 59-05-2/Methotrexate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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