{"id":277,"date":"2017-08-16T15:37:22","date_gmt":"2017-08-16T15:37:22","guid":{"rendered":"http:\/\/5.189.150.156\/~hjog\/?p=277"},"modified":"2017-09-11T19:12:07","modified_gmt":"2017-09-11T19:12:07","slug":"coexistence-of-placenta-praevia-and-accreta-a-dangerous-complication-of-pregnancy-with-an-increasing-frequency","status":"publish","type":"post","link":"https:\/\/hjog.org\/?p=277","title":{"rendered":"Coexistence of placenta praevia and accreta: A dangerous complication of pregnancy with an increasing frequency"},"content":{"rendered":"<p>Xiromeritis P<sup>1<\/sup>, Kalogiannidis I<sup>2<\/sup>, Papanikolaou A<sup>3<\/sup><\/p>\n<p>1Obstetrics and Gynecology clinic, Catholic University of Louvain, Brussels, Belgium<br \/>\n2Gynecologic Oncology clinic, Catholic University of Leuven, Belgium<br \/>\n31st Department of Obstetrics and Gynecology, Aristoteleio University of Thessaloniki, Thessaloniki, Greece<\/p>\n<p><em>Correspondence:<\/em> Xiromeritis Panayotis, 27 Kabouridou St, GR-55236, Thessaloniki, Greece. E-mail: panos.xiromeritis@tiscali.be<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/hjog.org\/wp-content\/pdf\/2006\/69-78_2006.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-130\" src=\"https:\/\/hjog.org\/wp-content\/uploads\/2017\/08\/pdf-icons-free-icons-in-file-icons-18.png\" alt=\"\" width=\"48\" height=\"48\" \/><\/a><\/p>\n<hr \/>\n<h5>Abstract<\/h5>\n<p>Advanced maternal age and the increasing number of cesarean sections have led to a higher frequency of placenta praevia and\/or accreta. Antenatal screening of these pregnancies, using the maternal medical history and the second trimester anatomy ultrasound scan, is necessary. Placenta praevia and\/or accreta are responsible for a number of serious feto-maternal complications. Placenta praevia is a risk factor for IUGR, preterm delivery and retroplacental hematoma. Post-partum hemorrhage is the principal maternal complication. High risk pregnancies of placenta praevia should have a close follow-up. Cesarean section is preferred when the distance between the placenta and the internal cervical os is less than 2 cm. In cases of post-partum hemorrhage, conservative management seems to be effective. An experienced multidisciplinary medical team is needed during the conservative or surgical management.<\/p>\n<p><em>Keywords:<\/em> placenta praevia, placenta accreta, conservative management, post-partum hemorrhage<\/p>\n<p>p. 69-78<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Xiromeritis P, Kalogiannidis I, Papanikolaou A<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/hjog.org\/wp-content\/pdf\/2006\/69-78_2006.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-130\" src=\"https:\/\/hjog.org\/wp-content\/uploads\/2017\/08\/pdf-icons-free-icons-in-file-icons-18.png\" alt=\"\" width=\"48\" height=\"48\" \/><\/a><\/p>\n<p>Advanced maternal age and the increasing number of cesarean sections have led to a higher frequency of placenta praevia and\/or accreta. Antenatal screening of these pregnancies, using the maternal medical history and the second trimester anatomy ultrasound scan, is necessary. Placenta praevia and\/or accreta are responsible for a number of serious feto-maternal complications &#8230;<\/p>\n<p><a href=\"<?php echo get_permalink(); ?>&#8220;> Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[228,227,226,229],"class_list":["post-277","post","type-post","status-publish","format-standard","hentry","category-2006-volume-5-issue-1","tag-conservative-management","tag-placenta-accreta","tag-placenta-praevia","tag-post-partum-hemorrhage"],"_links":{"self":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=277"}],"version-history":[{"count":4,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/277\/revisions"}],"predecessor-version":[{"id":890,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/277\/revisions\/890"}],"wp:attachment":[{"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}