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- W4387260503 abstract "A previous Caesarean section (CS) performed before labour is a risk factor for both uterine scar defect and uterine rupture. We aimed to determine the association between previous CS and risk of placenta accreta. We performed a case-control study where each case of placenta accreta/percreta that required a postpartum hysterectomy was matched to controls who delivered after a previous CS in the week before each case. Univariate and stepwise multivariate logistic regression analyses were performed to report risk factors. We compared 64 cases that required hysterectomy to 192 controls. The most important factor related to risk of placenta accreta was number of previous CS (2 CS: odds ratio [OR]: 3.4; 95% confidence interval [CI]: 2.1-5.5; >2 CS: OR: 4.0; 95% CI: 2.4-6.9). In women with a single previous CS, two factors were significant: a previous elective CS before labour (OR: 2.9; 95% CI: 1.1-7.7; adjusted OR: 4.3; 95% CI: 1.24-14.6); and an inter-delivery interval of less than 18 months since the last CS (OR: 3.0; 95% CI: 1.40-6.7; adjusted OR: 4.0; 95% CI: 0.7-24.1). A second stage CS was not a risk factor (OR: 0.4; 95% CI: 0.1-2.9) for placenta accreta. The lack of data regarding the closure of the uterus prevents us from drawing solid conclusions. Our results suggest that the number of previous CS, a previous elective CS delivery before labour, and potentially a short inter-delivery interval after CS, are significant risk factors for future severe placenta accreta/percreta requiring postpartum hysterectomy." @default.
- W4387260503 created "2023-10-03" @default.
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- W4387260503 date "2023-10-01" @default.
- W4387260503 modified "2023-10-03" @default.
- W4387260503 title "EP16.13: Clinical risk factors for placenta accreta or placenta percreta: a case‐control study" @default.
- W4387260503 doi "https://doi.org/10.1002/uog.26909" @default.
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