We have located links that may give you full text access.
CASE REPORTS
JOURNAL ARTICLE
Increased incidence of placenta praevia and accreta with previous caesareans--a hypothesis for causation.
Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology 2013 November
With the increasing numbers of caesareans, long-term complications, such as anterior placenta praevia-accreta are becoming important. Two case reports are presented here, leading to a hypothesis that the increasing incidence of anterior placenta praevia after prior caesareans may be a result of excessive differential development of the lower uterine segment. This could result from marked stretching of a poorly-healed myometrial area by the developing placenta. This would explain the lower incidence of 'apparent' migration of low placenta, as well as the higher likelihood of morbid adhesion. Although different operative techniques do not have a significant effect on short-term outcomes of caesareans, they are likely to impact the long-term complications. In the absence of long-term studies and good quality evidence, theoretical and logical analysis suggests that adherence to good surgical techniques, such as gentle tissue handling, haemostasis, good myometrial approximation without compromising blood supply and restoration of normal anatomy, may reduce long-term complications.
Full text links
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app