期刊
CLINICS IN PERINATOLOGY
卷 38, 期 2, 页码 285-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.clp.2011.03.010
关键词
Placenta accreta; Cesarean section; Incidence; Management
Placenta accreta is a significant source of obstetric morbidity and mortality. Its incidence is increasing as a direct consequence of the increasing cesarean section rate, which reflects increased rates of maternal obesity, increased numbers of multiple gestations secondary to assisted reproductive technology, physician concern about litigation for adverse obstetric outcome, and a decline in the use of operative vaginal delivery for both cephalic and breech presentations. Optimum management for most cases requires elective cesarean hysterectomy, ideally performed at about 34 weeks' gestation. A multidisciplinary approach produces the best outcomes.
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