Table 1.
Demographic and Clinical Characteristics
| Cesarean Hysterectomy N = 7 n (%) |
Delayed Hysterectomy N = 13 n (%) |
|
|---|---|---|
| Maternal Age at Delivery, years | 37 ± 3.7 | 31 ± 1.3 |
| Maternal Race | ||
| African-American | 2 (29) | 2 (15) |
| Hispanic | 0 | 3 (23) |
| White | 5 (71) | 6 (46) |
| Other/Not Specified | 0 | 2 (15) |
| Gravidity | 4 [2–6] | 3[2–8] |
| Parity | 2 [1–3] | 2 [1–4] |
| Gestational Age, weeks | 35 [18–37] | 34 [28–37] |
| BMI | 28 [20–54] | 30 [22–53] |
| Prior Cesarean Delivery | ||
| 1 | 4 (57) | 6 (46) |
| 2 | 2 (29) | 6 (46) |
| 3 | 1 (14) | 1 (8) |
| Other Prior Uterine Surgery | ||
| Uterine curettage | 1 (14) | 3 (23) |
| Hysteroscopic myomectomy | 0 | 1 (8) |
| Concurrent Placental Diagnosis | ||
| Partial previa | 2 (29) | 3 (23) |
| Complete previa | 3 (43) | 9 (69) |
| Vasa previa | 1 (14) | 1 (18) |
| Indication for Delivery | ||
| Scheduled | 3 (43) | 6 (46) |
| Contractions | 1 (14) | 3 (23) |
| Vaginal bleeding | 1(14) | 1 (8) |
| Hematuria | 1 (14) | 1 (8) |
| Fetal growth restriction | 1 (14) | 1 (8) |
| Premature rupture of membranes | 0 | 1 (8) |
| Final Pathology | ||
| Accreta | 0 | 0 |
| Increta | 4 (57) | 7 (54) |
| Percreta | 3 (43) | 4 (31) |
| Inconclusivea | 0 | 2 (15) |
Data are n (%), mean ± mean standard error, or median with [range]
aInconclusive pathology in two cases: 1) extensive degree of post-embolization myometrial infarction significantly hampered ability to recognize infiltrating chorionic villi and 2) changes in anterior myometrium may be consistent with prior placental involvement; however no retained placental identified