PLACENTA ACCRETA SPECTRUM
Keywords:
Placenta accreta spectrum, balloon occlusion of the common iliac arteries, uterine artery embolization, bottom caesarean section, hysterectomy.Abstract
Placenta accreta spectrum, formerly known as morbidly adherent placenta, refers to the range of pathologic adherence of the placenta, including placenta increta, placenta percreta, and placenta accreta. There are several risk factors for placenta accreta spectrum. The most common is a previous cesarean delivery, with the incidence of placenta accreta spectrum increasing with the number of prior cesarean deliveries. Antenatal diagnosis of placenta accreta spectrum is highly desirable because outcomes are optimized when delivery occurs at a level III or IV maternal care facility before the onset of labor or bleeding and with avoidance of placental disruption. The most generally accepted approach to placenta accreta spectrum is cesarean hysterectomy with the placenta left in situ after delivery of the fetus (attempts at placental removal are associated with significant risk of hemorrhage). The data on modern methods of labor management in this pathology are presented: balloon occlusion of the common iliac arteries, selective embolization of the uterine arteries, bottom caesarean section.
Downloads
References
Камінський В.В., Голяновський О.В., Ткаченко Р.О., Чернов А.В. Масивні акушерські кровотечі / В.В. Камінський [та ін], 2010. С. 232.
Conde-Agudelo A., Belizan J., Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study / A. Conde-Agudelo [et al.] // Obstet Gynecol, 2005. Feb. P. 192, 342-349.
McLintock C. Postpartum haemorrhage. / C. McLintock // Thromb Res., 2005. Feb. Р. 115.
Saving women’s lives: evidence-based recommendations for the prevention of postpartum haemorrhage, Bulletin of the World Health Organization, Bull World Health Organ vol.85 no.4 Genebra Apr. 2007.
Gami G., Goldman S., Shalev E., Salim R. Obstet. Gynaecol, 2011. Vol. 117. № 1. P. 55–59.
Tantbirojn P., Crum C.P., Parast M.M. Placenta, 2008. Vol. 29. № 7. P. 639-645.
Eller A.G., Porter T.F., Soisson P., Silver R.M. BJOG, 2009. Vol. 116. № 5. P. 648-654.
Sinha P., Mishra M. Obstet. Gynaecol., 2012. Vol. 32. № 7. P. 621-623.
Comstock С.H. Ultrasound Obstet. Gynaecol., 2005. Vol. 26. P. 89-96.
Курцер М.А., Кутакова Ю.Ю., Бреслав И.Ю., Сонголова Е.Н. Status Praes., 2013. № 1. C. 14-19.
Angstmann T., Gard G., Harrington T. et al. Surgical management of placenta accreta: a cohort series and suggested approach // Am. J. Obstet. Gynecol., 2010. Vol. 202. P. 38–39.
