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Abnormal placental invasion experience at 1 center


Bencaiova, G; Burkhardt, T; Beinder, E (2007). Abnormal placental invasion experience at 1 center. Journal of Reproductive Medicine, 52(8):709-714.

Abstract

OBJECTIVE: To identify the incidence, risk factors, and maternal and neonatal outcome of pregnancies with abnormal placentation at a single center. STUDY DESIGN: A retrospective review of the medical records of the deliveries in 1999-2003 at the Department of Obstetrics, University Hospital Zurich, was conducted with respect to abnormal placentation, and the incidence, risk factors and outcomes were observed. RESULTS: Thirty-one women with abnormal placentation were identified. They represented 0.31% of deliveries during the 5-year period. The significant factors associated with abnormal placentation were previous uterine curettage (OR = 19.3, 95% CI 11.6-32.3), previous uterine surgery other than cesarean sections (OR = 49.6, 95% CI 24.3-102.3) and coexistent placenta previa (OR = 16.1, 95% CI 4.7-43.7). No case of maternal death occurred, and 1 neonatal death due to uterine rupture occurred in the study group. CONCLUSION: The most important risk factor in abnormal placentation was a previous uterine intervention.

OBJECTIVE: To identify the incidence, risk factors, and maternal and neonatal outcome of pregnancies with abnormal placentation at a single center. STUDY DESIGN: A retrospective review of the medical records of the deliveries in 1999-2003 at the Department of Obstetrics, University Hospital Zurich, was conducted with respect to abnormal placentation, and the incidence, risk factors and outcomes were observed. RESULTS: Thirty-one women with abnormal placentation were identified. They represented 0.31% of deliveries during the 5-year period. The significant factors associated with abnormal placentation were previous uterine curettage (OR = 19.3, 95% CI 11.6-32.3), previous uterine surgery other than cesarean sections (OR = 49.6, 95% CI 24.3-102.3) and coexistent placenta previa (OR = 16.1, 95% CI 4.7-43.7). No case of maternal death occurred, and 1 neonatal death due to uterine rupture occurred in the study group. CONCLUSION: The most important risk factor in abnormal placentation was a previous uterine intervention.

Citations

9 citations in Web of Science®
12 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Obstetrics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:August 2007
Deposited On:15 Mar 2009 18:51
Last Modified:05 Apr 2016 13:10
Publisher:Science Printers and Publishers
ISSN:0024-7758
Related URLs:http://www.reproductivemedicine.com/ (Publisher)
PubMed ID:17879832

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