Abnormal placentation

被引:20
作者
Booker, Whitney [1 ]
Moroz, Leslie [1 ]
机构
[1] Columbia Univ, Div Maternal Fetal Med, Dept Obstet & Gynecol, Coll Phys & Surg,Med Ctr, 622 West 168th St, New York, NY 10032 USA
关键词
Morbidly adherent placenta; Placenta accreta; Abnormally invasive placentation; Maternal morbidity and mortality; Obstetrical hemorrhage; FIGO CONSENSUS GUIDELINES; RISK-FACTORS; INVASIVE PLACENTA; ACCRETA SPECTRUM; CONSERVATIVE MANAGEMENT; PRENATAL-DIAGNOSIS; CESAREAN HYSTERECTOMY; ANESTHETIC MANAGEMENT; ANTENATAL DIAGNOSIS; MATERNAL MORBIDITY;
D O I
10.1053/j.semperi.2018.11.009
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The term "morbidly adherent placenta" has recently been introduced to describe the spectrum of disorders including placenta accreta, increta and percreta. Due to excessive invasion of the placenta into the uterus there is associated significant maternal morbidity and mortality. Most significant risk factors for morbidly adherent placenta include history of prior cesarean delivery as well as placenta previa in the current pregnancy. Ultrasound remains the gold standard for antenatal diagnosis, however, in recent years MRI has assisted in identifying complex parametrial involvement. Optimizing maternal and neonatal outcomes involves early prenatal diagnosis, a multi-disciplinary team-based approach, and referral to an experienced center. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:51 / 59
页数:9
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