التفاصيل البيبلوغرافية
| العنوان: |
Fertility and obstetric outcome after conservative management of placenta accreta |
| المؤلفون: |
Provansal, Magali1, Courbiere, Blandine1, Agostini, Aubert1, D'Ercole, Claude2, Boubli, Léon2, Bretelle, Florence2,3 florence.bretelle@ap-hm.fr, Boubli, Léon (AUTHOR) |
| المصدر: |
International Journal of Gynecology & Obstetrics. May2010, Vol. 109 Issue 2, p147-150. 4p. |
| مصطلحات موضوعية: |
*HUMAN fertility, *OBSTETRICS, *PLACENTA diseases, *HYSTERECTOMY, *MENSTRUAL cycle, *AMENORRHEA, *PREGNANCY, *ACADEMIC medical centers, *CESAREAN section, *FERTILITY, *INFERTILITY, *LABOR complications (Obstetrics), *LONGITUDINAL method, *MENSTRUATION, *TREATMENT effectiveness, *RETROSPECTIVE studies, *THERAPEUTICS, *PREVENTION |
| مصطلحات جغرافية: |
FRANCE |
| مستخلص: |
Objective: To determine the fertility and obstetric outcomes after conservative management of placenta accreta.Methods: A retrospective observational cohort study of all identified cases of placenta accreta from 1993 to 2007 in 2 tertiary university hospitals in France. For patients treated conservatively, maternal and fetal morbidity, reproductive function, fertility, and subsequent pregnancies were recorded.Results: During the study period, 46 patients were treated by conservative management; 6 patients underwent a secondary hysterectomy. Of the remaining 40 patients, 35 were followed up for a median of 65 months (range 18-156 months). Patients resumed their menstrual cycles after a median of 130 days (range 48-176 days). Menses were irregular in 11 patients (31%), but none had amenorrhea. Twelve of the 14 patients desiring another pregnancy achieved a total of 15 pregnancies; 2 patients had recurrent placenta accreta. Five spontaneous abortions and 1 termination of pregnancy occurred during the first trimester. The median term at delivery was 37 weeks (range, 35-40 weeks). Four patients delivered prematurely.Conclusion: Conservative management of placenta accreta can preserve fertility, although the risk of recurrent placenta accreta appears to be high. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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