Articles: placenta-previa-surgery.
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The incidence of placenta praevia and accreta has been increasing with rising caesarean section rates. We highlight the increasing incidence of severe post-partum haemorrhage due to placenta accreta. Four cases occurred within 3 years (2002--2004) in a small District General Hospital (DGH) with a delivery rate of 1,800 per year. ⋯ Patients were counselled regarding this condition, and the possible need for hysterectomy was discussed. Two of them had to be managed by post-partum hysterectomy and the other two were treated conservatively. The purpose of writing these case reports is to warn others of the need for vigilance, particularly in keeping their primary caesarean section rates down and being prepared for long-term complications.
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The objective was to review all emergency peripartum hysterectomies performed at a tertiary hospital in London, UK, and to identify the risk factors for emergency peripartum hysterectomy. ⋯ Caesarean deliveries, especially repeat caesareans in women with placenta praevia, significantly increase the risk of emergency peripartum hysterectomy.
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Obstetrics and gynecology · Sep 2003
Case ReportsAvoiding an incision through the anterior previa at cesarean delivery.
Information is limited regarding the preferred method of delivery when the placenta is underlying the site of the uterine incision. ⋯ This reproducible technique is offered as an alternative to transecting the underlying placenta at cesarean delivery.