Placenta Accreta Spectrum

被引:299
|
作者
Silver, Robert M. [1 ]
Branch, D. Ware [1 ,2 ]
机构
[1] Univ Utah, Hlth Sci Ctr, Dept Obstet & Gynecol, 30 N 1900 East,Rm 2B200 SOM, Salt Lake City, UT 84132 USA
[2] Intermt Healthcare, Women & Newborns Clin Program, Salt Lake City, UT USA
来源
NEW ENGLAND JOURNAL OF MEDICINE | 2018年 / 378卷 / 16期
关键词
MORBIDLY ADHERENT PLACENTA; CONSERVATIVE TREATMENT; BALLOON CATHETERS; RISK-FACTORS; WOMEN; DIAGNOSIS; HYSTERECTOMY; SONOGRAPHY; PERCRETA; OUTCOMES;
D O I
10.1056/NEJMcp1709324
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 36-year-old woman with three previous cesarean deliveries is referred at 28 weeks of gestation because of placenta previa detected on ultrasonography. Other ultrasonographic findings include multiple intraplacental lacunae and loss of the normal retroplacental hypoechoic zone in the area underlying the dome of the maternal bladder. Placenta accreta is suspected. The course of the patient's pregnancy otherwise has been normal. How should she be counseled and her care be managed?
引用
收藏
页码:1529 / 1536
页数:8
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