Abnormal placental invasion experience at 1 center
Bencaiova, G.; Burkhardt, T.; Beinder, E.
Journal of Reproductive Medicine 52(8): 709-714
2007
ISSN/ISBN: 0024-7758 PMID: 17879832 Document Number: 609956
OBJECTIVE: To identify the incidence, risk factors, and maternal and neonatal outcome of pregnancies with abnormal placentation at a single center.STUDY DESIGN. A retrospective review of the medical records of the deliveries in 1999-2003 at the Department of Obstetrics, University Hospital Zurich, was conducted with respect to abnormal placentation, and the incidence, risk factors and outcomes were observed.RESULTS: Thirty-one women with abnormal placentation were identified. They represented 0.31% of deliveries during the 5-year period. The significant factors associated with abnormal placentation were previous uterine curettage (OR = 19.3, 95% CI 11.6-32.3), previous uterine surgery other than cesarean sections (OR = 49.6, 95% CI 24.3-102.3) and coexistent placenta previa (OR = 16.1, 95% CI 4.7-43.7). No case of maternal death occurred, and I neonatal death due to uterine rupture occurred in the study group.CONCLUSION: The most important risk factor in abnormal placentation was a previous uterine intervention.