Placenta Accreta, Increta, and PercretaA Survey of 40 Cases
作者:
JAMES BREEN,
ROBERT NEUBECKER,
CATERINA GREGORI,
JOSEPH FRANKLIN,
期刊:
Obstetrics & Gynecology
(OVID Available online 1977)
卷期:
Volume 49,
issue 1
页码: 43-47
ISSN:0029-7844
年代: 1977
出版商: OVID
数据来源: OVID
摘要:
Forty patients with placenta accreta, increta, or percreta are presented. Clinical features revealed an average age of 29.S years and an average parity of 3–2-1. Twenty-five had no antepartum complications. Nine were admitted with silent hemorrhage, of which 6 had a total placenta previa and 1 a low-lying previa. Postpartum hemorrhage occurred in 39% with an associated perinatal mortality of 25% and 1 maternal death. Histopathologic evaluations revealed the predominant factor to be an absent decidua. Etiologic in decidual deficiency was a previous cesarean section (12 patients). Therapy consisted of total abdominal hysterectomy in 38 patients.
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