A clinico‐pathologic study of placenta percreta. Issue 3 (13th January 2018)

• Record Type: Journal Article
• Authors: Hubinont, Corinne; Mhallem, Mina; Baldin, Pamela; Debieve, Frederic; Bernard, Pierre; Jauniaux, Eric
• Is Part Of: International journal of gynaecology and obstetrics. Volume 140:Issue 3(2018)
• Page Start: 365
• Page End: 369
• Publication Date: 2018-01-13
• Subjects: Invasive placentation -- MRI -- Placenta increta -- Placenta percreta -- Prenatal diagnosis -- Ultrasound imaging; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.12412
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To review a single‐center case series of placenta percreta and to evaluate risk factors and the impact of surgical techniques used in previous cesarean delivery. Methods: The present retrospective cohort study included pregnancies with placenta percreta managed between January 1, 2002, and March 31, 2017, at Saint Luc University Hospital, Brussels, Belgium. The data reviewed included demographics, outcomes, inter‐pregnancy interval, and surgical techniques used for uterine closure in previous cesarean delivery. A cases series of non‐accreta placenta previa was used as a control group. Results: There were 19 pregnancies included in the study. The most common ultrasonography signs in the study group were loss of the clear zone (14/17; 82%), placental lacunae (17/17; 100%), and subplacental hypervascularity (11/14; 79%). Median gravidity, parity, and number of previous cesarean deliveries were higher ( P <0.05) and inter‐pregnancy interval was longer ( P <0.05) in the study group than the control group. There was no difference between the groups in the surgical techniques used for previous cesarean deliveries. Conclusion: The prenatal ultrasonography diagnosis of placenta percreta is accurate and facilitates optimal management by a specialized multidisciplinary team. Multicenter studies are required to further evaluate the impact of the surgical techniques used for prior cesarean delivery on the risks of placenta percreta in subsequent pregnancies. Abstract : Placenta percreta can be accurately diagnosed prenatally with ultrasonography and is associated with good outcomes when managed by a multidisciplinary team.