Cited by 224Maternal and fetal healthcareBlood transfusion and managementMaternal and Perinatal Health Interventions

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Risk Factors for Placenta Accreta: A Large Prospective Cohort

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Eller, Alexandra, Bardsley, Tyler, Greene, Tom, Varner, Michael, Silver, Robert, Bowman, Zachary·2013·American Journal of Perinatology

DOI 10.1055/s-0033-1361833

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Abstract

OBJECTIVE: Placenta previa and prior cesarean delivery are known risk factors for placenta accreta. However, other risk factors have not been identified. Our objective was to examine risk factors for accreta using data collected prospectively in a large multicenter cohort. STUDY DESIGN: Secondary analysis of women with accreta compared to those without accreta in a large multicenter cesarean delivery cohort. Potential accreta risk factors were examined by univariate and multivariate analyses. RESULTS: In this study, 196 of 73,257 (0.27%) cesarean deliveries were complicated by accreta. As expected, women with increasing numbers of prior cesareans were more likely to have an accreta (p < 0.001), as were women with previa (adjusted odds ratio [OR], 34.9; 95% confidence interval [CI], 22.4-54.3). We also considered only patients with previa and examined the following variables: maternal demographics, prior cesareans, interval between deliveries, parity, body mass index, tobacco use, and coexisting hypertension or diabetes. In this model, patients with previa and two or three prior cesarean deliveries had an adjusted OR for accreta of 4.9 (95% CI, 1.7-14.3) or 7.7 (95% CI, 2.4-24.9), respectively. However, no other variables were significantly associated with accreta. CONCLUSION: Patients with previa have increased risk for accreta that increases with the number of prior cesarean deliveries. However, no other maternal characteristics were associated with accreta.

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Authors: Eller, A., Bardsley, T., Greene, T., Varner, M., Silver, R., & Bowman, Z.
Affiliations: Intermountain Healthcare (US)
University of Utah (US)
Corresponding author: Bowman, Zachary
ORCID: Greene, Tom
Varner, Michael
Bowman, Zachary
Venue: American Journal of Perinatology
Publisher: Georg Thieme Verlag KG
Published: 2013-12-12
Volume: 31
Issue: 09
Pages: 799-804
ISSN: 0735-1631 (ISSN-L)
1098-8785
DOI: 10.1055/s-0033-1361833
OpenAlex: W2327089839
Cited by: 224
References: 27
Citations by year: 2026: 8 · 2025: 17 · 2024: 35 · 2023: 25 · 2022: 37 · 2021: 25 · 2020: 19 · 2019: 13 · 2018: 19 · 2017: 10 · 2016: 7 · 2015: 7 · 2014: 2
FWCI: 4.96
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Perinatology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Institute of Child Health and Human Development
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
Health Sciences › Medicine › Hematology › Blood transfusion and management
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords: placenta accreta, placenta previa, previous cesarean section, risk factors, cesarean section complications, parity, maternal obesity, tobacco use, hypertension, diabetes mellitus
MeSH terms: Adult, Cesarean Section, Female, Humans, Placenta Accreta, Placenta Previa, Pregnancy, Prospective Studies, Risk Factors, United States, Young Adult

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Risk Factors for Placenta Accreta: A Large Prospective Cohort

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