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Differences in the management of suspected cases of placenta accreta in France and Argentina
Author(s) -
Mazouni Chafika,
PalaciosJaraquemada José M.,
Deter Russell,
Juhan Valérie,
Gamerre Marc,
Bretelle Florence
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.04.021
Subject(s) - placenta accreta , medicine , placenta , obstetrics , conservative management , ultrasound , magnetic resonance imaging , referral , retained placenta , placenta diseases , gynecology , pregnancy , radiology , surgery , fetus , genetics , family medicine , biology
Objective To compare the imaging procedures and surgical strategies used to treat placenta accreta at referral centers in France and Argentina. Method A total of 52 women suspected of having placenta accreta underwent ultrasound and placental magnetic resonance imaging evaluations at these centers between May 2003 and October 2006. Findings and management were recorded. Results The use of the 2 imaging technologies was similar in France and Argentina and conservative surgical treatment was predominant in both groups. The placenta was left in situ in 64.7% of cases at the French center whereas resection of the placenta and invaded area were performed in 91.4% of cases in Argentina. Conclusion The same diagnostic tools were used in the 2 groups, but there were differences in diagnostic accuracy and in the types of surgical procedures performed.