Placenta Accreta Encountered During Dilation and Evacuation in the Second Trimester

Overview

Journal Obstet Gynecol

Specialty Gynecology & Obstetrics

Date 1995 May 1

PMID 7724099

Citations 6

Authors

W K Rashbaum

E J Gates

J Jones

B Goldman

A Morris

W D Lyman

Affiliations

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Abstract

Objective: To assess the frequency of placenta accreta encountered during dilation and evacuation (D&E) in the second trimester.

Methods: Among 16,827 second-trimester D&E procedures performed at our hospitals and clinics, seven cases of placenta accreta, either suspected clinically or proven histologically, were encountered. These cases were analyzed for history of prior cesarean delivery, placenta localization, and histology of hysterectomy specimens.

Results: Six of the seven cases suspected clinically were confirmed histologically. All placenta accreta patients had at least one cesarean delivery (mean 1.7), and five had a preoperative sonogram demonstrating some form of placenta previa. The prevalence of clinical placenta accreta encountered during D&Es in the second trimester was 0.04%, the same as that reported for placenta accreta diagnosed clinically in the third trimester.

Conclusion: Placenta accreta can be a potential complicating factor in the patient undergoing D&E in the second trimester.

Citing Articles

Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa.

Chen K, Zhang G, Li F, Liu J, Xie K, Zhu E J Interv Med. 2021; 3(1):41-44.

PMID: 34805905 PMC: 8562179. DOI: 10.1016/j.jimed.2020.01.006.

Laparoscopic hysterectomy to manage uterine rupture due to placenta percreta in the first trimester: A case report.

Lee F, Zahn K, Knittel A, Morse J, Louie M Case Rep Womens Health. 2019; 25:e00165.

PMID: 31886137 PMC: 6920503. DOI: 10.1016/j.crwh.2019.e00165.

Postpartum Treatment of a Herniation of the Anterior Uterine Wall due to Remains of Placenta Increta.

Haddad A, Zoukar O, Mhabrich H, Hajjeji A, Faleh R Case Rep Obstet Gynecol. 2018; 2018:5921495.

PMID: 30510825 PMC: 6232829. DOI: 10.1155/2018/5921495.

Management strategies for patients with placenta accreta spectrum disorders who underwent pregnancy termination in the second trimester: a retrospective study.

Cui R, Li M, Lu J, Bai H, Zhang Z BMC Pregnancy Childbirth. 2018; 18(1):298.

PMID: 29996794 PMC: 6042202. DOI: 10.1186/s12884-018-1935-6.

A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta.

Matsuzaki S, Matsuzaki S, Ueda Y, Tanaka Y, Kakuda M, Kanagawa T AJP Rep. 2015; 5(1):e6-e11.

PMID: 26199801 PMC: 4502619. DOI: 10.1055/s-0034-1395992.