Placenta Accreta and Cesarean Scar Pregnancy

Overlooked Costs of the Rising Cesarean Section Rate

Research output: Contribution to journalReview article

73 Citations (Scopus)

Abstract

An unintended consequence of the rising cesarean section rate is abnormal placentation in subsequent pregnancies, leading to the clinical complications of placenta accreta and cesarean scar pregnancies. Both of these clinical entities are associated with high rates of maternal morbidity and mortality. This article reviews the potential mechanisms by which uterine scarring may lead to abnormal trophoblast invasion, the association of cesarean section with placenta accreta and scar pregnancies, current management, and suggestions for future research to reduce the incidence of these potentially devastating complications of pregnancy.

Original languageEnglish (US)
Pages (from-to)519-529
Number of pages11
JournalClinics in Perinatology
Volume35
Issue number3
DOIs
StatePublished - Sep 1 2008
Externally publishedYes

Fingerprint

Placenta Accreta
Cesarean Section
Cicatrix
Costs and Cost Analysis
Pregnancy
Placentation
Pregnancy Complications
Maternal Mortality
Trophoblasts
Morbidity
Incidence

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

@article{8a74c0de7ffd4dcd99a2275e827ce6bf,
title = "Placenta Accreta and Cesarean Scar Pregnancy: Overlooked Costs of the Rising Cesarean Section Rate",
abstract = "An unintended consequence of the rising cesarean section rate is abnormal placentation in subsequent pregnancies, leading to the clinical complications of placenta accreta and cesarean scar pregnancies. Both of these clinical entities are associated with high rates of maternal morbidity and mortality. This article reviews the potential mechanisms by which uterine scarring may lead to abnormal trophoblast invasion, the association of cesarean section with placenta accreta and scar pregnancies, current management, and suggestions for future research to reduce the incidence of these potentially devastating complications of pregnancy.",
author = "Todd Rosen",
year = "2008",
month = "9",
day = "1",
doi = "10.1016/j.clp.2008.07.003",
language = "English (US)",
volume = "35",
pages = "519--529",
journal = "Clinics in Perinatology",
issn = "0095-5108",
publisher = "W.B. Saunders Ltd",
number = "3",

}

Placenta Accreta and Cesarean Scar Pregnancy : Overlooked Costs of the Rising Cesarean Section Rate. / Rosen, Todd.

In: Clinics in Perinatology, Vol. 35, No. 3, 01.09.2008, p. 519-529.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Placenta Accreta and Cesarean Scar Pregnancy

T2 - Overlooked Costs of the Rising Cesarean Section Rate

AU - Rosen, Todd

PY - 2008/9/1

Y1 - 2008/9/1

N2 - An unintended consequence of the rising cesarean section rate is abnormal placentation in subsequent pregnancies, leading to the clinical complications of placenta accreta and cesarean scar pregnancies. Both of these clinical entities are associated with high rates of maternal morbidity and mortality. This article reviews the potential mechanisms by which uterine scarring may lead to abnormal trophoblast invasion, the association of cesarean section with placenta accreta and scar pregnancies, current management, and suggestions for future research to reduce the incidence of these potentially devastating complications of pregnancy.

AB - An unintended consequence of the rising cesarean section rate is abnormal placentation in subsequent pregnancies, leading to the clinical complications of placenta accreta and cesarean scar pregnancies. Both of these clinical entities are associated with high rates of maternal morbidity and mortality. This article reviews the potential mechanisms by which uterine scarring may lead to abnormal trophoblast invasion, the association of cesarean section with placenta accreta and scar pregnancies, current management, and suggestions for future research to reduce the incidence of these potentially devastating complications of pregnancy.

UR - http://www.scopus.com/inward/record.url?scp=54349105985&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=54349105985&partnerID=8YFLogxK

U2 - 10.1016/j.clp.2008.07.003

DO - 10.1016/j.clp.2008.07.003

M3 - Review article

VL - 35

SP - 519

EP - 529

JO - Clinics in Perinatology

JF - Clinics in Perinatology

SN - 0095-5108

IS - 3

ER -