[Analysis of placenta accreta risk factors. 8 case reports].
The authors report 8 cases of placenta accreta during a 7-year period between March 1986 and January 1992. There were 72,399 deliveries at the Rabta Tunis Maternity and Neonatalogy Centre during this same period, i.e. a rate of 0.11%. Risk factors were dominated by multiparity (7 cases), uterine scars (7 cases) and placenta praevia (5 cases). Associated rupture of the uterus was seen in 2 cases. There was no ultrasonographic diagnosis of placenta accreta before delivery. The diagnosis invariably made at the time of delivery was confirmed histologically in all cases. Hysterectomy was performed in 7 cases and a partial resection of the uterine horn in 1 case. Maternal mortality was nil. There was perinatal mortality in 4 cases, linked twice to prematurity and twice to hypoxia secondary to severe hemorrhage. Analysis of these 8 cases and a review of the literature form the basis of a discussion of the epidemiological profile and clinical and paraclinical characteristics of this condition and an evaluation of foeto-maternal prognosis.
Centre de Maternité et de Néonatalogie de la Rabta, Service A, Tunis.
E
E
Sfar
S
S
Zine
N
N
Chaar
K
K
Ben Ammar
S
S
Haouat
F
F
Zouari
M
M
Zitouna
H
H
Chelli
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007226:Infant Mortality; D007231:Infant, Newborn; D010298:Parity; D010921:Placenta Accreta / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D010923:Placenta Previa / Q000150:complications; D011247:Pregnancy; D011379:Prognosis; D012307:Risk Factors; D014597:Uterine Rupture / Q000150:complications
Analyse des facteurs de risque du placenta accreta. A propos de 8 observations.