<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412022000200180</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i2.5835</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Acretismo placentario en primigestas. Reporte de tres casos y revisión de la bibliografía]]></article-title>
<article-title xml:lang="en"><![CDATA[Primigravid with placental accreta. Three cases report and literature review.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruvalcaba-Ramírez]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Ibarra,]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mejía-Romo,]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuadro-Bracamontes,]]></surname>
<given-names><![CDATA[Edgar Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Khalaf-Partida,]]></surname>
<given-names><![CDATA[Mhai Said]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manzo-Arroyo]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>2</numero>
<fpage>180</fpage>
<lpage>186</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000200180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000200180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000200180&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: El acretismo placentario aparece cuando una parte o la totalidad de la placenta invade la pared uterina; se asocia con procedimientos que implican cicatrización en el útero.  OBJETIVO: Exponer tres casos de pacientes primigestas, sin antecedentes de procedimientos uterinos previos, que tuvieron acretismo placentario. Además, evaluar la inclusión de nuevos factores de riesgo que pueden influir en la aparición de la enfermedad, conforme a lo encontrado en la revisión bibliográfica.  CASOS CLÍNICOS: Caso 1: Primigesta de 22 años. El ultrasonido de las 35.3 semanas reportó: placenta previa total con 2 de 6 signos de acretismo placentario. Durante la cesárea se identificó aumento de la vascularidad en el segmento uterino, que ameritó la histerectomía obstétrica. El reporte histopatológico fue: placenta increta. Caso 2: Primigesta de 39 años. El ultrasonido prenatal reportó: placenta normoinserta. La cesárea se indicó por sospecha de desprendimiento prematuro de placenta normoinserta. Durante el procedimiento se observó que la placenta estaba adherida al fondo uterino y el cuerno derecho, circunstancias por las que se indicó la histerectomía obstétrica. El reporte histopatológico fue: incretismo placentario. Caso 3: Primigesta de 28 años. El ultrasonido obstétrico evidenció: placenta fúndica grado II. Durante el procedimiento quirúrgico se observó que el útero estaba vascularizado. En el alumbramiento se observó que la placenta estaba invadiendo el miometrio y la serosa, por eso se decidió la histerectomía obstétrica. El reporte histopatológico fue: placenta acreta.  CONCLUSIÓN: El diagnóstico de acretismo placentario suele sospecharse en pacientes previamente intervenidas para tratar afecciones uterinas, por causa obstétrica, ginecológica u otra. En todas las pacientes, independientemente de los antecedentes médico-quirúrgicos debe efectuarse el escrutinio para disminuir la morbilidad y la mortalidad materna. Además, plantear líneas de acción y alternativas de prevención para proporcionar una atención integral, oportuna y multidisciplinaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Placental accreta occurs when part or all of the placenta invades and is inseparable from the uterine wall, associated with procedures that entail scarring in the uterus.  OBJECTIVE: To review three cases in primiparous patients without a history of previous uterine procedures who presented placental accreta, in addition to evaluating the inclusion of new risk factors that may influence the presence of the pathology.  CLINICAL CASES: Case 1: 22-year-old primigravity, ultrasound at 35.3 weeks, with total placenta previa and 2/6 ultrasound signs of placenta accreta. During cesarean section, increased vascularity is identified, predominantly in the segment requiring obstetric hysterectomy. Histopathological reported was placenta increta. Case 2: 39-year-old primigravity, prenatal ultrasound report normal inserted placenta. A cesarean section was performed for suspected premature detachment of a normoinserted placenta. Trans-surgical placenta attached to the uterine fundus and right cornual region was observed, requiring obstetric hysterectomy. Histopathological report was placenta increta. Case 3: 28-year-old primigravity. Obstetric ultrasound, fundic placenta grade II. In the surgical act, a highly vascularized uterus was reported, upon delivery, a placenta was observed invading myometrium and serosa, requiring obstetric hysterectomy. Histopathological report was placenta accreta.  CONCLUSION:  The diagnosis of placental accreta is usually suspected in patients who have undergone previous uterine procedures for obstetric, gynecological or other causes. However, all patients should be screened regardless of the medical-surgical history in order to reduce maternal morbidity and mortality, in addition to proposing lines of action and prevention alternatives to provide a timely and multidisciplinary comprehensive management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemorragia posparto]]></kwd>
<kwd lng="es"><![CDATA[primigesta]]></kwd>
<kwd lng="es"><![CDATA[placenta acreta]]></kwd>
<kwd lng="en"><![CDATA[Postpartum hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Primigravidity]]></kwd>
<kwd lng="en"><![CDATA[Placenta accreta]]></kwd>
</kwd-group>
</article-meta>
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