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2019•Obstetric Anesthesia DigestRequires access

Placenta Percreta is Associated With More Frequent Severe Maternal Morbidity than Placenta Accreta

Louis Marcellin, Pierre Delorme, Marie‐Pierre Bonnet, G. Grangé, Gilles Kayem, V. Tsatsaris, François Goffinet

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Abstract

(Am J Obstet Gynecol. 2018;219:193.e1–193.e9) Abnormally invasive placentation is the leading cause of obstetric hysterectomy and can lead to poor maternal outcomes as a result of hemorrhage. Of concern is the rise in the incidence of invasive placentation affecting 0.17% to 0.34% of all deliveries. Prior studies of peripartum management and maternal morbidity have not distinguished between accreta/increta or percreta. The aim of this study was to compare maternal morbidity from placenta percreta and accreta and to compare outcomes when managed conservatively versus planned cesarean hysterectomy.

About this research paper

What this paper is about

(Am J Obstet Gynecol. 2018;219:193.e1–193.e9) Abnormally invasive placentation is the leading cause of obstetric hysterectomy and can lead to poor maternal outcomes as a result of hemorrhage. Of concern is the rise in the incidence of invasive placentation affecting 0.17% to 0.34% of all deliveries. Prior studies of peripartum management and maternal morbidity have not distinguished between accreta/increta or percreta. The aim of this study was to compare maternal morbidity from placenta percreta and accreta and to compare outcomes when managed conservatively versus planned cesarean hysterectomy.

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OpenAlex reports 4 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

(Am J Obstet Gynecol. 2018;219:193.e1–193.e9) Abnormally invasive placentation is the leading cause of obstetric hysterectomy and can lead to poor maternal outcomes as a result of hemorrhage. Of concern is the rise in the incidence of invasive placentation affecting 0.17% to 0.34% of all deliveries. Prior studies of peripartum management and maternal morbidity have not distinguished between accreta/increta or percreta. The aim of this study was to compare maternal morbidity from placenta percreta and accreta and to compare outcomes when managed conservatively versus planned cesarean hysterectomy.

Key concepts: Placenta accreta, Medicine, Placenta Percreta, Obstetrics, Maternal morbidity, Placentation, Hysterectomy, Incidence (geometry)

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