Long-term gynecological complications after conservative treatment of placenta accreta spectrum

Autor: Shmuel Herzberg, Yossef Ezra, Rani Haj Yahya, Carolyn F. Weiniger, Hila Hochler, Doron Kabiri
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Medicine, Vol 9 (2022)
Druh dokumentu: article
ISSN: 2296-858X
DOI: 10.3389/fmed.2022.992215
Popis: ObjectiveTo examine the association between conservative treatment for PAS (placenta accreta spectrum) and subsequent gynecological and fertility complications.MethodsAll women who underwent conservative treatment for PAS between January 1990 and December 2000 were included in this retrospective cohort study conducted in a tertiary teaching hospital. Gynecological and fertility complications experienced after the index delivery were collected from the medical records and telephone questionnaires. This data was compared to an age and parity-matched control group of women without PAS.ResultsThe study group included 134 women with PAS managed conservatively and 134 controls with normal deliveries matched by parity and age. Women in the PAS group required significantly more postpartum operative procedures such as hysteroscopy or D&C (OR = 6.6; 95%CI: 3.36–13.28; P =
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