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- W2318242583 abstract "Placenta accreta is characterized by abnormal placental adherence to the uterine wall, frequently requiring cesarean hysterectomy and resulting in massive maternal hemorrhage at delivery, and other maternal, and potentially neonatal, morbidity. Blood loss at delivery often ranges from 2,000 mL to 5,000 mL, sometimes more. The incidence of placenta accreta is rising in parallel with the increasing cesarean delivery rate, as history of a previous cesarean delivery in the setting of a placenta previa is the greatest risk factor for accreta. Among women with placenta previa undergoing their second through fifth repeat cesarean, the rate of accreta is 11%, 40%, 61%, and 67%, respectively. Placenta accreta can be suspected on antenatal ultrasound, aided by maternal history and maternal-serum analytes. When accreta is suspected, maternal and neonatal morbidity can be reduced by a scheduled delivery in a tertiary care center by a multidisciplinary team that includes a 24-hour in-house obstetrician gynecologist, anesthesiologist, and immediately available gynecologic oncologist and interventional radiologist, with a large, well-stocked blood bank. Other morbidities and mortality, including maternal intensive care unit (ICU) admission, neonatal respiratory distress syndrome, cerebral palsy, mental retardation, and infant death, may be minimized by scheduling delivery at 34 weeks9 gestation." @default.
- W2318242583 created "2016-06-24" @default.
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- W2318242583 date "2014-07-01" @default.
- W2318242583 modified "2023-09-27" @default.
- W2318242583 title "Placenta Accreta: An Increasingly Common Problem" @default.
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- W2318242583 doi "https://doi.org/10.1542/neo.15-7-e286" @default.
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