Pirjani Reihaneh, Seifmanesh Farahnaz, Tehranian Afsaneh, Hosseini Ladan, Heidari Reza, Ghajar Alireza, Sepidarkish Mahdi
Department of Obstetrics and Gynecology, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Research Development Center, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Aust N Z J Obstet Gynaecol. 2017 Feb;57(1):115-117. doi: 10.1111/ajo.12555. Epub 2016 Nov 11.
This prospective cohort study was conducted in Arash Women's Hospital between August 2014 and August 2015 to define the relationship between caesarean section scar and placental implantation and migration. Seven hundred and thirty women with one previous birth (caesarean section or vaginal delivery) and a singleton pregnancy underwent three ultrasound examinations for placental evaluation at 11-14, 20 and 34 weeks gestation. Previous caesarean section was related to the increased odds of anterior placental implantation but no relation was seen between low-lying placenta or placenta praevia and previous caesarean. The placental migration from low-lying to non-low-lying position was similar between women with and without previous caesarean.
这项前瞻性队列研究于2014年8月至2015年8月在阿拉什妇女医院进行,以确定剖宫产瘢痕与胎盘植入和迁移之间的关系。730名曾有过一次分娩(剖宫产或阴道分娩)且为单胎妊娠的妇女在妊娠11 - 14周、20周和34周时接受了三次超声检查以评估胎盘情况。既往剖宫产与前置胎盘植入几率增加有关,但前置胎盘或胎盘前置与既往剖宫产之间未见关联。有或无既往剖宫产史的妇女中,胎盘从低位迁移至非低位的情况相似。