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Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review.

Abstract：

:This review concentrates on 2 consequences of cesarean deliveries that may occur in a subsequent pregnancy. They are the pathologically adherent placenta and the cesarean scar pregnancy. We explored their clinical and diagnostic as well as therapeutic similarities. We reviewed the literature concerning the occurrence of early placenta accreta and cesarean section scar pregnancy. The review resulted in several conclusions: (1) the diagnosis of placenta accreta and cesarean scar pregnancy is difficult; (2) transvaginal ultrasound seems to be the best diagnostic tool to establish the diagnosis; (3) an early and correct diagnosis may prevent some of their complications; (4) curettage and systemic methotrexate therapy and embolization as single treatments should be avoided if possible; and (5) in the case of cesarean scar pregnancy, local methotrexate- and hysteroscopic-directed procedures had the lowest complication rates.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Timor-Tritsch IE,Monteagudo A

doi

10.1016/j.ajog.2012.03.007

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

14-29

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(12)00278-5

journal_volume

207

pub_type

杂志文章,评审

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