What is the Risk of Morbidity in Pregnancies Following Accreta?
This study by Roeca et al. (Obstetrics Gynecology, 2017) explored the relationship between pathologically diagnosed placenta accreta and risk of morbidity in future pregnancies.
Retrospective Cohort Study
The authors reviewed cases of 339 women with pathologically diagnosed accreta who did not undergo hysterectomies, of which 39 (11.5%) had subsequent pregnancies. Patients with no morbidity in the first pregnancy did not experience major morbidity in the subsequent pregnancy, while 6 of the 21 with any morbidity with the initial diagnosis of accreta had a future major morbid outcome. In the case where there was significant morbidity in the original pregnancy, 25% had a diagnosis of accreta in the subsequent pregnancy. The authors point out that a previous diagnosis of accreta, regardless of outcome, necessitates careful preparation in subsequent pregnancies.
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