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Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature
Placenta accreta spectrum disorders is a rare pathology but the incidence has not stopped to increase in recent years. The purpose of our work was the analysis of the epidemiological profile of our patients, the circumstances of diagnosis, the interest of paraclinical explorations in antenatal diagn...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6711691/ https://www.ncbi.nlm.nih.gov/pubmed/31489064 http://dx.doi.org/10.11604/pamj.2019.33.86.17700 |
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author | Slaoui, Aziz Talib, Sarah Nah, Anass Moussaoui, Kamal El Benzina, Intissar Zeraidi, Najia Baydada, Aziz Kharbach, Aicha |
author_facet | Slaoui, Aziz Talib, Sarah Nah, Anass Moussaoui, Kamal El Benzina, Intissar Zeraidi, Najia Baydada, Aziz Kharbach, Aicha |
author_sort | Slaoui, Aziz |
collection | PubMed |
description | Placenta accreta spectrum disorders is a rare pathology but the incidence has not stopped to increase in recent years. The purpose of our work was the analysis of the epidemiological profile of our patients, the circumstances of diagnosis, the interest of paraclinical explorations in antenatal diagnosis and the evaluation of the evolutionary profile. We hereby report a case series spread over a period of one year from 01/01/2015 to 01/01/2016 at the Gynaecology-Obstetrics department of the University Hospital Center IBN SINA of Rabat where we identified six cases of placenta accreta. We selected patients whose diagnosis was confirmed clinically and histologically. The major risk factors identified were a history of placenta previa, previous caesarean section, advanced maternal age, multiparity. 2D ultrasound and magnetic resonance imaging (MRI) allowed us to strongly suspect the presence of a placenta accreta in a pregnant woman with risk factor(s) but the diagnosis of certainty was always histological. Placenta accreta spectrum disorders were associated with a high risk of severe postpartum hemorrhage, serious comorbidities, and maternal death. Leaving the placenta in situ was an option for women who desire to preserve their fertility and agree to continuous long-term monitoring in centers with adequate expertise but a primary elective caesarean hysterectomy was the safest and most practical option. Placenta accreta spectrum disorders is an uncommon pathology that must be systematically sought in a parturient with risk factors, to avoid serious complications. In light of the latest International Federation of Gynecology and Obstetrics (FIGO) recommendations of 2018, a review of the literature and finally the experience of our center, we propose a course of action according to whether the diagnosis of the placenta is antenatal or perpartum. |
format | Online Article Text |
id | pubmed-6711691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-67116912019-09-05 Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature Slaoui, Aziz Talib, Sarah Nah, Anass Moussaoui, Kamal El Benzina, Intissar Zeraidi, Najia Baydada, Aziz Kharbach, Aicha Pan Afr Med J Case Series Placenta accreta spectrum disorders is a rare pathology but the incidence has not stopped to increase in recent years. The purpose of our work was the analysis of the epidemiological profile of our patients, the circumstances of diagnosis, the interest of paraclinical explorations in antenatal diagnosis and the evaluation of the evolutionary profile. We hereby report a case series spread over a period of one year from 01/01/2015 to 01/01/2016 at the Gynaecology-Obstetrics department of the University Hospital Center IBN SINA of Rabat where we identified six cases of placenta accreta. We selected patients whose diagnosis was confirmed clinically and histologically. The major risk factors identified were a history of placenta previa, previous caesarean section, advanced maternal age, multiparity. 2D ultrasound and magnetic resonance imaging (MRI) allowed us to strongly suspect the presence of a placenta accreta in a pregnant woman with risk factor(s) but the diagnosis of certainty was always histological. Placenta accreta spectrum disorders were associated with a high risk of severe postpartum hemorrhage, serious comorbidities, and maternal death. Leaving the placenta in situ was an option for women who desire to preserve their fertility and agree to continuous long-term monitoring in centers with adequate expertise but a primary elective caesarean hysterectomy was the safest and most practical option. Placenta accreta spectrum disorders is an uncommon pathology that must be systematically sought in a parturient with risk factors, to avoid serious complications. In light of the latest International Federation of Gynecology and Obstetrics (FIGO) recommendations of 2018, a review of the literature and finally the experience of our center, we propose a course of action according to whether the diagnosis of the placenta is antenatal or perpartum. The African Field Epidemiology Network 2019-06-06 /pmc/articles/PMC6711691/ /pubmed/31489064 http://dx.doi.org/10.11604/pamj.2019.33.86.17700 Text en © Aziz Slaoui et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Series Slaoui, Aziz Talib, Sarah Nah, Anass Moussaoui, Kamal El Benzina, Intissar Zeraidi, Najia Baydada, Aziz Kharbach, Aicha Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature |
title | Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature |
title_full | Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature |
title_fullStr | Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature |
title_full_unstemmed | Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature |
title_short | Placenta accreta in the department of gynaecology and obstetrics in Rabat, Morocco: case series and review of the literature |
title_sort | placenta accreta in the department of gynaecology and obstetrics in rabat, morocco: case series and review of the literature |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6711691/ https://www.ncbi.nlm.nih.gov/pubmed/31489064 http://dx.doi.org/10.11604/pamj.2019.33.86.17700 |
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