Placenta accreta spectrum in subsequent pregnancy following myomectomy
| Autor: | Raoul Orvieto, Idan Timor, Roy Mashiach, Aya Mohr-Sasson, Raanan Meyer, David Stockheim |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Placenta accreta Placenta medicine.medical_treatment Hysteroscopy Placenta Accreta 03 medical and health sciences 0302 clinical medicine Pregnancy Laparotomy Uterine Myomectomy medicine Humans 030212 general & internal medicine Laparoscopy Retrospective Studies 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics Obstetrics and Gynecology Retrospective cohort study medicine.disease humanities body regions Pediatrics Perinatology and Child Health Female Subsequent pregnancy business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 35:4332-4337 |
| ISSN: | 1476-4954 1476-7058 |
| Popis: | To compare the prevalence of placental abnormalities in pregnancy following different modes of operative myomectomy.A retrospective cohort study, including all women after myomectomy that gave birth in a single tertiary care center from February 2011 to January 2019. Data was collected from the patients' medical files and completed by telephone questionnaire. Patients were stratified to 3 groups, according to the mode of operative myomectomy (laparotomy, laparoscopy, hysteroscopy). Groups were compared for women demographics, fibroid's characteristics, operative management, post-operative placental evaluation and delivery characteristics. Primary outcome was defined as the need for any intervention for placental separation during the third phase of the delivery.Two hundred forty one women met inclusion criteria. Complete follow-up was achieved in 199 (82.57%) women, of whom 82, 89, and 28 underwent laparoscopic, laparotomy and hysteroscopic myomectomy, respectively. There were no in-between groups differences in women's age, BMI, and gravidity. Disruption of the endometrial cavity during laparoscopy and laparotomy was reported in 3 (3.6%) and 7 (7.8%) cases, respectively (Subsequent pregnancy following surgical myomectomy was not found to be associated with higher prevalence placental abnormality. Furthermore, other than manual lysis, the different modes of myomectomy did not necessitate any further intervention for complications associated with abnormal placentation requiring intervention.Subsequent pregnancy following surgical myomectomy is not associated with higher prevalence of placental abnormality. |
| Databáze: | OpenAIRE |
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