Placenta accreta presents one of the highest risks to pregnancy, and its more severe variant, placenta percreta, is particularly risky. The incidence of both conditions is increasing. Placenta percreta requires a cesarean hysterectomy for management, but the challenges associated with this surgery often result in severe obstetric hemorrhaging and high rates of maternal morbidity. Several recent...

BACKGROUND Placenta previa is known to be associated with previous caesarean deliveries, advanced maternal age, increasing parity, smoking, curettage and myomectomy. This study was carried out to compare the frequency of placenta previa, in women with previous caesareans versus those with normal vaginal deliveries. METHODS It was one year study conducted at the Department of Obstetrics and Gy...

This study investigates the validity of retrospective determination of chorion type by asking the question to the mother about the number of placentas. In the "East Flanders Prospective Twin Survey" (EFPTS), accurate information on the placentation and zygosity of the multiples was collected prospectively. The mothers of 231 monozygotic (95 dichorionic and 136 monochorionic) twins and 255 dizyg...

Background: Antenatal renal vein thrombosis have been a rarely described diagnostic finding, with variable consequences on kidney function. Case report: We present an unusual case of a dichorionic twin pregnancy in 34 weeks of gestation with one affected fetus, showing already intrauterine a bilatrally hyperechoic kidneys with a left kidney increased in size and cardiotocographic signs of fetal...

The rate of cesarean delivery in the United States is at an all-time high. With the increased rate of primary and repeated cesarean delivery, a corresponding increase in the occurrence rate of placenta previa and placenta accreta has been observed. The purpose of this case report is to discuss the obstetric disorder of placenta previa with the concurrent occurrence of placenta accreta. A review...

Placenta accreta is a severe complication of pregnancy normally diagnosed during the second trimester. Early detection could reduce risk hemorrhage abortion or miscarriage; however, guidelines on first-trimester diagnosis are lacking. We describe case placenta first trimester with its sonographic and histological features.

OBJECTIVES To identify the incidence of morbidly adherent placenta in the context of a rising caesarean delivery rate within a single institution in the past 15 years, and to determine the contribution of morbidly adherent placenta to the incidence of massive postpartum haemorrhage requiring hysterectomy. SETTING A regional obstetric unit in Hong Kong. PATIENTS Patients with a morbidly adhe...