Should mortality be informed for cesarean hysterectomy for placenta accreta?

摘要

The rate of cesarean section has been increasing, resultingin an increase in placenta previa accreta (accreta,increta, and percreta). A recent report1 showed that a‘placenta clinic’ in a Canadian tertiary center with acatchment area of 80 000 deliveries per annum dealtwith 68 patients of placenta accreta during a 10-yearperiod. This roughly indicates that hysterectomy forplacenta accreta may be performed in approximately1/10 000 deliveries. This is in agreement with theannual births in catchment areas covered by Japanesetertiary centers. Roughly speaking, one center maymanage an average of one peripartum hysterectomyfor placenta accreta annually. This rarity may be a challengeto obstetricians inexperienced in this surgery.