{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:45:47Z","timestamp":1789753547716,"version":"4.0.1"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,9,22]],"date-time":"2019-09-22T00:00:00Z","timestamp":1569110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of placenta accreta has increased in recent years and it has been suggested that the rising trend in cesarean delivery and other uterine surgery is the underlying cause.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the magnitude of the effect of performing single and repeat cesarean deliveries or other uterine surgery on the incidence of placenta accreta.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>Relevant databases were searched for papers published before August 1, 2018, using terms including \u201caccreta\u201d and \u201ccesarean.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Cohort studies assessing the risk of placenta accreta according to women's history of uterine surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Meta\u2010analyses were performed to assess the risks associated between uterine surgery and placenta accreta, hysterectomy, and uterine rupture. The <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> statistic was used to examine between\u2010study heterogeneity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>The risk of placenta accreta in a second pregnancy increased for women who had undergone a cesarean in their first pregnancy compared with vaginal delivery (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.02; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.50\u20136.08). Absolute risk of placenta accreta increased with the number of previous cesareans. The risk of uterine rupture and hysterectomy was also associated with the number of cesareans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Risk of placenta accreta, hysterectomy, and uterine rupture increases with the number of previous cesarean deliveries.<\/jats:p><jats:p><jats:styled-content style=\"fixed-case\">PROSPERO<\/jats:styled-content>:<jats:styled-content style=\"fixed-case\"> CRD<\/jats:styled-content>42016050646.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12948","type":"journal-article","created":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T18:35:00Z","timestamp":1567190100000},"page":"281-291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["A systematic review and meta\u2010analysis of cesarean delivery and other uterine surgery as risk factors for placenta accreta"],"prefix":"10.1002","volume":"147","author":[{"given":"Bremen","family":"De Mucio","sequence":"first","affiliation":[{"name":"Latin American Center of Perinatology, Women and Reproductive Health (CLAP\/WRH) Pan American Health Organization  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Serruya","sequence":"additional","affiliation":[{"name":"Latin American Center of Perinatology, Women and Reproductive Health (CLAP\/WRH) Pan American Health Organization  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Alem\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine School of Medicine University of the Republic  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graciela","family":"Castellano","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine School of Medicine University of the Republic  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio G.","family":"Sosa","sequence":"additional","affiliation":[{"name":"Latin American Center of Perinatology, Women and Reproductive Health (CLAP\/WRH) Pan American Health Organization  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000207559.15715.98"},{"key":"e_1_2_7_3_1","first-page":"799","article-title":"Risk factors for placenta accreta: A large prospective cohort","volume":"31","author":"Bowman Z","year":"2014","journal-title":"Am J Perinatol"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000722"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.08.030"},{"key":"e_1_2_7_6_1","first-page":"511","article-title":"Rising incidence of morbidly adherent placenta and its association with previous caesarean section: A 15\u2010year analysis in a tertiary hospital in Hong Kong","volume":"21","author":"Cheng K","year":"2015","journal-title":"Hong Kong Med J"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.02.001"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12080"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.553695"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.12.037"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148343"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.05.002"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13547"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgyn.2013.03.005"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2008.27.11.1623"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211442"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000149156.07061.1f"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0052893"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"e_1_2_7_21_1","unstructured":"WellsGA SheaB O'ConnellD et\u00a0al.The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses[webpage on the Internet]Ottawa ON:Ottawa Hospital Research Institute;2011.http:\/\/www.ohri.ca\/PROGRAMS\/CLINICAL_EPIDEMIOLOGY\/OXFORD.ASP. 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