Conservative management of morbidly adherent placenta: expert review.
نویسندگان
چکیده
Over the last century, the incidence of placenta accreta, increta, and percreta, collectively referred to as morbidly adherent placenta, has risen dramatically. Planned cesarean hysterectomy at the time of cesarean delivery is the standard recommended treatment in the United States. Recently, interest in conservative management has resurged, especially in Europe. The aims of this review are the following: (1) to provide an overview of methods used for conservative management, (2) to discuss clinical implications for both clinicians and patients, and (3) to identify areas in need of further research.
منابع مشابه
Successful pregnancy outcome following conservative management of morbidly adherent placenta.
Adherent placenta is an uncommon but potentially dangerous complication of pregnancy. Hysterectomy remains the ‘‘Gold Standard’’ and lifesaving procedure in the management of adherent placenta. However, with careful selection of cases and meticulous monitoring, successful conservative management is possible with the use of methotrexate. Here, we report a case of successful pregnancy outcome for...
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The incidence of morbidly adherent placenta is rising and is directly proportional to the rate of rise of caesarean deliveries. Despite improvement in antenatal diagnosis, by accuracy of ultrasound and MRI techniques, placenta accreta is still associated with a high maternal morbidity rate. Management of pregnancies with a morbidly adherent placenta is extremely challenging and is becoming an i...
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ورودعنوان ژورنال:
- American journal of obstetrics and gynecology
دوره 213 6 شماره
صفحات -
تاریخ انتشار 2015