scholarly journals In Vitro Fertilization and Placenta Accreta Spectrum in pregnancies with a history of previous cesarean delivery

Author(s):  
Lili Du ◽  
Yingyu Liang ◽  
Dunjin Chen
2021 ◽  
Vol 41 (3) ◽  
pp. 126-127
Author(s):  
B. Salmanian ◽  
K.A Fox ◽  
S.E. Arian ◽  
H. Erfani ◽  
S.L. Clark ◽  
...  

2020 ◽  
Vol 222 (1) ◽  
pp. S668-S669
Author(s):  
Bahram Salmanian ◽  
Hadi Erfani ◽  
Sara Arian ◽  
Jimmy Espinoza ◽  
Ahmed A. Nassr ◽  
...  

2020 ◽  
Vol 223 (4) ◽  
pp. 568.e1-568.e5 ◽  
Author(s):  
Bahram Salmanian ◽  
Karin A. Fox ◽  
Sara E. Arian ◽  
Hadi Erfani ◽  
Steven L. Clark ◽  
...  

Author(s):  
Anna M. Modest ◽  
Thomas L. Toth ◽  
Katherine M. Johnson ◽  
Scott A. Shainker

Objective The incidence of placenta accreta spectrum (PAS) has been increasing in the United States. In addition, there has also been an increase in the utilization of in vitro fertilization (IVF). The IVF pregnancies confer an increased risk of adverse obstetric and neonatal outcomes, but there is limited data on whether IVF is associated with PAS. The aim of this study is to assess the association between IVF and the risk of PAS. Study Design This was a retrospective cohort study of deliveries from January 1, 2013 to August 1, 2018 at a tertiary hospital in the Massachusetts. IVF pregnancies were compared with non-IVF pregnancies, and PAS diagnosis was confirmed by histopathology reports. Hospital administrative data and medical record review were used, and supplemented with data from birth certificates from the Massachusetts Department of Public Health. Results We identified 28,344 pregnancies that met inclusion criteria, of which 1,418 (5.0%) were IVF pregnancies. The overall incidence of PAS was 0.4% (2.2% in the IVF group and 0.3% in the non-IVF group). Women who underwent IVF had 5.5 times the risk of PAS (95% confidence interval [CI]: 3.4–8.7) compared with women in the non-IVF group, adjusted for maternal age, nulliparity, and year of delivery (Table 5). Compared with women in the non-IVF group, the IVF group had fewer prior cesarean deliveries (22.6 vs. 64.2%) and a lower prevalence of placenta previa (19.4 vs. 44.4%). Conclusion Women with an IVF pregnancy carry an increased risk of PAS compared with non-IVF. Among women who underwent IVF, there was a lower prevalence of prior cesarean deliveries and placenta previa. Future work is needed to identify the mechanism of association for this increased risk as well as a reliable tool for antenatal detection in this cohort of women. Key Points


2022 ◽  
Vol 226 (1) ◽  
pp. S518
Author(s):  
Anna M. Modest ◽  
Brett D. Einerson ◽  
Albaro Jose Nieto ◽  
Vineet Shrivastava ◽  
Alireza A. Shamshirsaz ◽  
...  

2021 ◽  
Vol 10 (3) ◽  
pp. 70-72
Author(s):  
Sergei Slavov

Placenta previa and related pregnancy complications are more common in In vitro fertilization pregnancies compared with spontaneous ones. There is evidence that PAS disorders are more common in pregnancies after IVF. Factors leading to a higher incidence of this pathology in IVF pregnancies have not been fully studied. Possible causes are the advanced age of women undergoing IVF, factors related to infertility itself, causes from the biological part of the In vitro procedure or controlled ovarian stimulation. The study of these factors is crucial for clinical practice as it would improve the outcome of IVF pregnancies.


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