Attuali orientamenti nella diagnosi e nel trattamento delle aderenze placentari patologiche: la nostra esperienza

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    Abstract

    [automatically translated] The abnormal adherence of the placenta is a disease caratterizzata by an anomalous miometrial infiltration of Chorionic villi. This event blocks the regular detachment of the placenta in post partum and sometimes to severe bleeding That causes the urgency of a caesarean section. In the past years the incidence of this pathology has increased At to about 1 in 500-600 deliveries. The cause of abnormal adherence of the placenta is unknown but there are some risk factors such as prior caesarean sections, women older than 35 years of age and placenta previa. The early diagnosis is very important and it can be done by Eco-Color Doppler (eventually Associated with 3d technique) and Magnetic Resonance. Objective. To understand if the risk factors of our assay are the same as other international trials, in Particular to compare our data with a study executed by University of Chicago During the period from 1998 to 2003. Study Design. This study considers 3958 deliveries in Obstetrics and Gynecology Division of Palermo University Polyclinic During the period from 2002 to 2007. We consider abnormal infiltration from accreta to percreta excluding simple adherent placenta. Our results confirm the Increasing incidence of abnormal adherence of the placenta, in our Department it is about 1/396 deliveries. Results: The risk factors are prior caesarean sections, women older than 35 years of age and placenta previa like other trials. We Observed That some diseases associated to an anomalous placenta angiostructure like preeclampsia or gestational diabetes could be Considered important risk factors This study considers 3958 deliveries in Obstetrics and Gynecology Division of Palermo University Polyclinic During the period from 2002 to 2007. We consider abnormal infiltration from accreta to percreta excluding simple adherent placenta. Our results confirm the Increasing incidence of abnormal adherence of the placenta, in our Department it is about 1/396 deliveries. Results: The risk factors are prior caesarean sections, women older than 35 years of age and placenta previa like other trials. We Observed That some diseases associated to an anomalous placenta angiostructure like preeclampsia or gestational diabetes could be Considered important risk factors This study considers 3958 deliveries in Obstetrics and Gynecology Division of Palermo University Polyclinic During the period from 2002 to 2007. We consider abnormal infiltration from accreta to percreta excluding simple adherent placenta. Our results confirm the Increasing incidence of abnormal adherence of the placenta, in our Department it is about 1/396 deliveries. Results: The risk factors are prior caesarean sections, women older than 35 years of age and placenta previa like other trials. We Observed That some diseases associated to an anomalous placenta angiostructure like preeclampsia or gestational diabetes could be Considered important risk factors We consider abnormal infiltration from accreta to percreta excluding simple adherent placenta. Our results confirm the Increasing incidence of abnormal adherence of the placenta, in our Department it is about 1/396 deliveries. Results: The risk factors are prior caesarean sections, women older than 35 years of age and placenta previa like other trials. We Observed That some diseases associated to an anomalous placenta angiostructure like preeclampsia or gestational diabetes could be Considered important risk factors We consider abnormal infiltration from accreta to percreta excluding simple adherent placenta. Our results confi
    Original languageItalian
    Pages (from-to)33-43
    Number of pages11
    JournalGiornale Italiano di Ostetricia e Ginecologia
    Volume32
    Publication statusPublished - 2010

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