Home About us Articles Multimedia Search Instructions Login 
5 years IF: 1.036 (® Thomson Reuters)
IF 2016: 1.064 (® Thomson Reuters)
Total Cites: 7140
Follow Us
Follow Us
  • Users Online: 369
  • Home
  • Print this page
  • Email this page
Year : 2018  |  Volume : 131  |  Issue : 6  |  Page : 672-676

Effect of Primary Elective Cesarean Delivery on Placenta Accreta: A Case-Control Study

Department of Obstetrics and Gynaecology, Peking University Third Hospital, Beijing 100191, China

Correspondence Address:
Dr. Yang-Yu Zhao
Department of Obstetrics and Gynaecology, Peking University Third Hospital, Beijing 100191
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0366-6999.226902

Rights and Permissions

Background: Cesarean section (CS) is an independent risk factor for placenta accreta. Some researchers think that the timing of primary cesarean delivery is associated with placenta accreta in subsequent pregnancies. The aim of this study was to investigate the risk of placenta accreta following primary CS without labor, also called primary elective CS, in a pregnancy complicated with placenta previa. Methods: A retrospective, single-center, case-control study was conducted at Peking University Third Hospital. Relevant clinical data of singleton pregnancies between January 2010 and September 2017 were recorded. The case group included women with placenta accreta who had placenta previa and one previous CS. Control group included women with one previous CS that was complicated with placenta previa. Maternal age, body mass index, gestational age, fetal birth weight, gravity, parity, induced abortion, the rate of women received assisted reproductive technology, other uterine surgery, and primary elective CS were analyzed between the two groups. Results: The rate of primary elective CS (90.1% vs. 69.9%, P < 0.001) was higher, and maternal age was younger (32.7 ± 4.7 years vs. 34.6 ± 4.0 years, P < 0.001) in case group, compared with control group. Case group also had higher gravity and induced abortions compared with the control group (both P < 0.05). Primary CS without labor was associated with significantly increased risk of placenta accreta in a subsequent pregnancy complicated with placenta previa (odds ratio: 3.32; 95% confidential interval: 1.68–6.58). Conclusion: Women with a primary elective CS without labor have a higher chance of developing an accreta in a subsequent pregnancy that is complicated with placenta previa.


 Abstract in Chinese




方法:本单中心病例对照回顾性研究选择了2010年1月至2017年9月在北京大学第三医院的单胎分娩数据。诊断为胎盘植入合并前置胎盘且只有一次剖宫产史者被纳入病例组,对照组则与病例组相匹配纳入了合并前置胎盘且只有一次剖宫产史者。比较两组间孕妇年龄、体重指数 (BMI)、分娩孕周、胎儿体重、孕次、产次、人工流产次数、接受辅助生殖技术 (ART) 的比率、其他子宫手术史的比率和既往选择性剖宫产的比率的差别。

结果:与对照组相比,病例组初次择期剖宫产率更高 (90.1% vs. 69.9%, P<0.001)、孕妇的年龄更低 (32.7±4.7 岁 vs. 34.6±4.0岁, P<0.001)。病例组孕次及流产次数则明显高于对照组 (均为P<0.05)。初次剖宫产手术为临产前者再次妊娠合并前置胎盘后发生胎盘植入的风险明显升高 (OR: 3.32; 95% CI: 1.68-6.58)。


Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded25    
    Comments [Add]    

Recommend this journal