Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/17238
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Type: Journal article
Title: Is endomyometrial injury during termination of pregnancy or curettage following miscarriage the precursor to placenta accreta?
Author: Beuker, J.
Erwich, J.
Khong, T.
Citation: Journal of Clinical Pathology, 2005; 58(3):273-275
Publisher: British Med Journal Publ Group
Issue Date: 2005
ISSN: 0021-9746
1472-4146
Statement of
Responsibility: 
J M Beuker, J J H M Erwich, T Y Khong
Abstract: Methods: Archival tissues from vacuum termination of pregnancy or dilatation and blunt curettage after miscarriage were examined for the presence of myometrium. The subsequent obstetric histories were scrutinised for manual removal of placenta, postpartum haemorrhage, or retained placenta. A retrospective study comparing the frequency of miscarriage and termination in women who had or did not have a manual removal was also performed. Results: Myometrium was seen in the products of conception in 44% and 35% of termination and miscarriage tissues, respectively. One of nine women with myometrium at miscarriage had a postpartum haemorrhage in a subsequent pregnancy whereas, of the 21 women without myometrium at miscarriage, three required manual removal and seven had a postpartum haemorrhage afterwards. A past history of termination and/or miscarriage was more frequent in multigravid women who had a manual removal than those who did not. Conclusions: Endomyometrial injury is frequent at termination or dilatation and curettage after miscarriage, but the relation to subsequent placenta accreta remains unclear. Women requiring a manual removal of the placenta were likely to have had a past history of termination and/or miscarriage.
Keywords: Myometrium; Endometrium; Humans; Abortion, Spontaneous; Placenta Accreta; Placenta, Retained; Pregnancy Outcome; Dilatation and Curettage; Abortion, Induced; Risk Factors; Case-Control Studies; Prospective Studies; Pregnancy; Adult; Female
Description: © 2005 BMJ Publishing Group Ltd & Association of Clinical Pathologists
RMID: 0020050181
DOI: 10.1136/jcp.2004.020602
Published version: http://jcp.bmj.com/cgi/content/abstract/58/3/273
Appears in Collections:Obstetrics and Gynaecology publications

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