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Archives of Gynecology and Obstetrics

, Volume 298, Issue 2, pp 445–446 | Cite as

Prior cesarean section and placenta accreta spectrum disorders: some clarifications

  • Gil Zeevi
  • Dan Tirosh
  • Reli Hershkovitz
Correspondence
  • 56 Downloads

We would like to thank Professor Shigeki Matsubara for his valuable clarifications and his artistic illustrations. Please see our reply below.

Comment #1:

First, whether their “PAS-associated morbidities” actually reflected “PAS related” were not identified. Zeevi et al. state that “the risk for maternal complications (postpartum hemorrhage, hysterectomy, and uterine surgeries) associated with placenta accreta was more pronounced among women who had an unplanned CS”. We wonder how Zeevi et al. identified that these three conditions were “PAS-related”. Although PAS may cause these three conditions, whether it was due to PAS in this study was not identified. Some cohort studies demonstrated an increased risk of extensions of the uterine incision and postpartum hemorrhage in second-stage CS [4, 5]. Such uterine damage may affect the next pregnancy. In fact, the incidence of preterm delivery increased in women with a previous history of second-stage CS, possibly due to cervico-isthmic...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Eshkoli T, Weintraub AY, Sergienko R, Sheiner E (2013) Placenta accreta: risk factors, perinatal outcomes, and consequences for subsequent births. Am J Obstet Gynecol 208(3):219.e1-7CrossRefPubMedGoogle Scholar
  2. 2.
    Mehrabadi A, Hutcheon JA, Liu S, Bartholomew S, Kramer MS, Liston RM et al (2015) Contribution of placenta accreta to the incidence of postpartum hemorrhage and severe postpartum hemorrhage. Obstet Gynecol 125(4):814–821CrossRefPubMedGoogle Scholar
  3. 3.
    Silver RM, Landon MB, Rouse DJ et al (2006) Maternal morbidity associated with multiple repeat cesarean deliveries: National Institute of Child Health and Human Development maternal–fetal medicine units network. Obstet Gynecol 107:1226–1232CrossRefPubMedGoogle Scholar
  4. 4.
    Creanga AA, Bateman BT, Butwick AJ et al (2015) Morbidity associated with cesarean delivery in the United States: is placenta accreta an increasingly important contributor. Am J Obstet Gynecol 213:384.e1–384.e11CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.US Unit, Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health SciencesBen Gurion University of the NegevBeer ShevaIsrael

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