Cesarean section per se is not a risk factor for non-anatomical placenta creta.
basal plate myometrial fibers
placenta
placenta creta
stillbirth
umbilical cord
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
revised:
15
06
2022
received:
16
12
2021
accepted:
09
08
2022
pubmed:
23
8
2022
medline:
15
2
2023
entrez:
22
8
2022
Statut:
ppublish
Résumé
To investigate whether mild forms of placenta creta (MPC) are more common in placentas delivered by cesarean section for non-anatomical indications than in placentas from vaginal deliveries. This is a retrospective clinical study in which MPC was diagnosed histologically by the presence of myometrial fibers in the decidua basalis or parietalis or in direct contact with the Rohr fibrinoid or chorionic villi. After excluding 111 cases at high risk for anatomical PC, placentas from 830 consecutive cesarean deliveries (group 1) were retrospectively statistically compared with 907 placentas from vaginal deliveries (group 2). Statistically significant differences were found in six independent clinical and seven placental phenotypes. More frequently, pre-eclampsia, abnormal fetal heart rate tracing and umbilical artery Dopplers, hypercoiled umbilical cord, diffuse postuterine pattern of chronic hypoxic placental injury, and clusters of avascular or mineralized chorionic villi were found in group 1, while preterm delivery, induction of labor, and histological patterns related to stillbirth were observed in group 2. MPC diagnosed in placentas from cesarean sections performed for non-anatomical indications is not statistically significantly more common than in those after vaginal delivery. Therefore, MPC may feature similar diagnostic correlations and portend a similar prognosis for future pregnancies.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
969-977Informations de copyright
© 2022 International Federation of Gynecology and Obstetrics.
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