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

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 concern...

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Bibliographic Details
Published inAmerican journal of obstetrics and gynecology Vol. 207; no. 1; pp. 14 - 29
Main Authors Timor-Tritsch, Ilan E., MD, Monteagudo, Ana, MD
Format Journal Article
LanguageEnglish
Published New York, NY Mosby, Inc 01.07.2012
Elsevier
Subjects
Biological and medical sciences
Cesarean Section - trends
cesarean section pregnancy
Cicatrix
Delivery. Postpartum. Lactation
Diseases of mother, fetus and pregnancy
Disorders
early pregnancy
ectopic pregnancy in the cesarean section
Female
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Obstetrics and Gynecology
Placenta Accreta - diagnosis
Placenta Accreta - etiology
Placenta Accreta - therapy
Postoperative Complications - diagnosis
Postoperative Complications - therapy
Pregnancy
Pregnancy, Ectopic - diagnosis
Pregnancy, Ectopic - etiology
Pregnancy, Ectopic - therapy
Pregnancy. Fetus. Placenta
Treatment Outcome
ultrasound
United States
United States
ectopic pregnancy in the cesarean section
cesarean section pregnancy
early pregnancy
ultrasound
pregnancy
Sonography
Pregnancy disorders
Scar
Gynecology
Review
Placenta diseases
Obstetrics
Placenta accreta
Obstetrical technique
Treatment
Surgery
Delivery disorders
Early pregnancy
Early
Ectopic pregnancy
Ultrasound
Cesarean section
Bibliographic review
Online AccessGet full text

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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.
AbstractList 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.
Author Timor-Tritsch, Ilan E., MD
Monteagudo, Ana, MD
Author_xml – sequence: 1
  fullname: Timor-Tritsch, Ilan E., MD
– sequence: 2
  fullname: Monteagudo, Ana, MD
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26137293$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/22516620$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords ectopic pregnancy in the cesarean section
cesarean section pregnancy
early pregnancy
ultrasound
pregnancy
Sonography
Pregnancy disorders
Scar
Gynecology
Review
Placenta diseases
Obstetrics
Placenta accreta
Obstetrical technique
Treatment
Surgery
Delivery disorders
Early pregnancy
Early
Ectopic pregnancy
Ultrasound
Cesarean section
Bibliographic review
Language English
License CC BY 4.0
Copyright © 2012. Published by Mosby, Inc.
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Snippet This review concentrates on 2 consequences of cesarean deliveries that may occur in a subsequent pregnancy. They are the pathologically adherent placenta and...
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SubjectTerms Biological and medical sciences
Cesarean Section - trends
cesarean section pregnancy
Cicatrix
Delivery. Postpartum. Lactation
Diseases of mother, fetus and pregnancy
Disorders
early pregnancy
ectopic pregnancy in the cesarean section
Female
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Obstetrics and Gynecology
Placenta Accreta - diagnosis
Placenta Accreta - etiology
Placenta Accreta - therapy
Postoperative Complications - diagnosis
Postoperative Complications - therapy
Pregnancy
Pregnancy, Ectopic - diagnosis
Pregnancy, Ectopic - etiology
Pregnancy, Ectopic - therapy
Pregnancy. Fetus. Placenta
Treatment Outcome
ultrasound
United States
Title Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review
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https://dx.doi.org/10.1016/j.ajog.2012.03.007
https://www.ncbi.nlm.nih.gov/pubmed/22516620
https://search.proquest.com/docview/1022259966
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