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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.
|Item Type:||Journal Article, refereed, further contribution|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Obstetrics|
|DDC:||610 Medicine & health|
|Deposited On:||15 Mar 2009 19:51|
|Last Modified:||28 Nov 2013 00:57|
|Publisher:||Science Printers and Publishers|
|Related URLs:||http://www.reproductivemedicine.com/ (Publisher)|
|Citations:||Web of Science®. Times Cited: 8|
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