title: Defective placental adhesion in voluntary termination of second-trimester pregnancy and risk of recurrence in subsequent pregnancies.
abstract: OBJECTIVE
  To evaluate the prevalence of defective placental adhesion (DPA) in voluntary termination of second-trimester pregnancy and the risk of DPA recurrence in subsequent pregnancies.
  
  
  METHODS
  We retrospectively reviewed the records of all patients who underwent voluntary second-trimester pregnancy termination in the period between January 2000 and December 2009. In all cases, the fetus and the placenta were submitted to pathological examination accordingly to our clinical protocol.
  
  
  RESULTS
  Four hundred twenty-seven cases of voluntary termination of second-trimester pregnancy were included in the study. Ten histologically confirmed cases of placenta accreta were observed (2.3%). Two patients with histological diagnosis of placenta accreta were lost at follow-up. Among the eight remaining patients, six had further pregnancies. Overall, nine pregnancies were recorded, and placenta accreta recurred in one patient.
  
  
  CONCLUSIONS
  This study shows that DPA occurs in 2.3% of second-trimester voluntary termination of pregnancy; these patients should have an accurate ultrasound examination of the placenta in subsequent pregnancies.
authors: Department of Obstetrics and Gynecology, University of Genoa, Genoa, Italy.
authors: Matteo
authors: M
authors: Morotti
authors: Silvia
authors: S
authors: Podestà
authors: Yuri
authors: Y
authors: Musizzano
authors: Pier Luigi
authors: PL
authors: Venturini
authors: Giorgio
authors: G
authors: Bentivoglio
authors: Ezio
authors: E
authors: Fulcheri
authors: Simone
authors: S
authors: Ferrero