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胎盘植入谱系疾病

Placenta Accreta Spectrum.

机构信息

Parkland Health and Hospital System, Dallas, Texas.

Department of Nursing, Texas Woman's University, Dallas, Texas.

出版信息

J Midwifery Womens Health. 2021 Mar;66(2):265-269. doi: 10.1111/jmwh.13182. Epub 2020 Dec 18.

Abstract

Placenta accreta spectrum is a term used to describe abnormal adherence and abnormal invasion of the placenta into the uterine wall during pregnancy. The incidence of placenta accreta spectrum has steadily increased over the last 40 years and is most notably linked to rising cesarean birth rates. This condition is associated with increased maternal morbidity and mortality because of the high risk of severe hemorrhage and likely need for hysterectomy at the time of birth. Early diagnosis of abnormal placentation is preferable in order to coordinate birth planning with a interprofessional collaborative team within a high-level perinatal care center. This article describes the case of a woman diagnosed with placenta accreta spectrum and the clinical course of her pregnancy and birth.

摘要

胎盘植入谱系疾病是一个用于描述妊娠期间胎盘异常附着和异常侵入子宫壁的术语。胎盘植入谱系疾病的发病率在过去 40 年中稳步上升,与剖宫产率的上升密切相关。这种情况与产妇发病率和死亡率的增加有关,因为严重出血的风险很高,并且可能需要在分娩时进行子宫切除术。早期诊断异常胎盘附着可以更好地协调分娩计划,与高水平围产期护理中心的多学科协作团队合作。本文描述了一位被诊断为胎盘植入谱系疾病的女性及其妊娠和分娩的临床过程。

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