title: [Comparative study of patients with placenta accreta with or without a history of cesarean section].
abstract: OBJECTIVE
  To evaluate characteristics of placenta accreta (PA) in patients without previous cesarean section.
  
  
  METHODS
  Retrospective cohort study from December 1993 to April 2010 in two departments of obstetrics in university hospitals, Marseille, France. Comparison of clinical characteristics, circumstances of diagnosis, maternal morbidity and treatment was performed between PA diagnosed in patients with (n=63) and without prior cesarean section (n=35).
  
  
  RESULTS
  In group of patients without previous caesarean section, rate of placenta praevia, and antenatal diagnosis were lower (16/35 [46 %] vs. 44/63 [70 %], [P: 0.02]) and (4/35 [11 %] vs. 28/63 [44 %], [P<0.001]) and rate of pregnancies obtained by IVF was higher (5/35 [15 %] vs. 2/63 [3 %], [P=0.05]). In this group, no hysterectomy was performed but risk of uterus necrosis following embolization was increased (3/35 [8.6 %] patients vs. 0/63 patients [P: 0.02]).
  
  
  CONCLUSIONS
  Patients without previous caesarean section have specific characteristics in terms of risk factor and of management.
authors.affiliation: Service de gynécologie obstétrique, pôle parents enfants, hôpital de La Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France.
authors.forename: C
authors.initials: C
authors.lastname: Tourette
authors.affiliation: Service de gynécologie obstétrique, pôle parents enfants, hôpital de La Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France.
authors.forename: F
authors.initials: F
authors.lastname: Bretelle
authors.affiliation: Service de gynécologie obstétrique, pôle parents enfants, hôpital de La Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France.
authors.forename: L
authors.initials: L
authors.lastname: Cravello
authors.affiliation: Service de gynécologie obstétrique, pôle parents enfants, hôpital de La Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France.
authors.forename: C
authors.initials: C
authors.lastname: D'Ercole
authors.affiliation: Service de gynécologie obstétrique, pôle parents enfants, hôpital de La Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France.
authors.forename: L
authors.initials: L
authors.lastname: Boubli
authors.affiliation: Service de gynécologie obstétrique, pôle parents enfants, hôpital de La Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France.
authors.forename: M
authors.initials: M
authors.lastname: Gamerre
authors.affiliation: Service de gynécologie obstétrique, pôle parents enfants, hôpital de La Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France. Electronic address: aubert.agostini@ap-hm.fr.
authors.forename: A
authors.initials: A
authors.lastname: Agostini
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects / Q000706:statistics & numerical data*; D015331:Cohort Studies; D005260:Female; D005307:Fertilization in Vitro; D005602:France; D006785:Hospitals, University; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D009336:Necrosis; D010921:Placenta Accreta / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012189:Retrospective Studies; D012307:Risk Factors; D014599:Uterus / Q000473:pathology
keywords: Antécédent de césarienne; Facteurs de risque; Placenta accreta; Previous cesarean section; Risk factors