Épidémiologie : libre accès

Abstrait

An Examination of Epidemiology, Medical Diagnosis, and Treatment

John Peter

The most frequent reason for peripartum hysterectomy at the moment is placenta accreta, a serious pregnancy complication. It is becoming a more widespread complication, mostly as a result of the rising prevalence of caesarean deliveries. A prior caesarean delivery, especially when combined with a pre-existing placenta, is the main risk factor for placenta accreta. An important element in enhancing the prognosis for mothers appears to be antenatal diagnosis. Most of the time, ultrasonography can be used to make a diagnosis. Usually, caesarean sections are used to deliver women who have placenta accreta. It is appropriate to plan a caesarean at 34 to 35 weeks in order to prevent an emergency delivery and to reduce prematurity-related problems. To lower neonatal and maternal morbidity and death, a multidisciplinary team approach and delivery at a facility with sufficient resources, especially those for large transfusion, are both necessary. The paucity of randomised controlled trials and sizable cohort studies makes it difficult to determine the best course of action once the neonate is delivered. The best course of action is probably a caesarean hysterectomy. When fertility is desired in a small number of cases, conservative management may be carefully explored. The epidemiology, risk factors, pathophysiology, diagnostic techniques, clinical ramifications, and treatment possibilities of this disorder are all included in the current review.