RISK FACTORS AND OUTCOME OF MORBIDLY ADHERENT PLACENTA IN SULAYMANIYAH MATERNITY TEACHING HOSPITAL

Volume 11 , Issue 3 , September 2021 , Pages 381-388

Authors

Huda Muhaddien Muhammad 1

1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10323

Keywords

Abstract

Background
Over the last three decades, the incidence of placenta accreta has increased dramatically in concert with the
increase in cesarean delivery rate. Moreover, placenta previa has been reported to be associated with a high
rate of placenta accreta, which is mainly responsible for direct maternal mortality and morbidity.
Objectives
The present study aimed to determine the risk factors of the morbidly adherent placenta and their outcomes.
Patients and Methods
The present cross-sectional study was carried out from May 1, 2018, to May 1, 2019. For this purpose, a total
number of 38 pregnant women with morbidly adherent placenta above 20 weeks’ gestations were selected.
Afterwards, the patients were interviewed using a constructed questionnaire. The data were analyzed using
the Chi-square test by Statistical Package for Social Science (version 24). P-values of less than 0.05 were
regarded as significant.
Results
Approximately 63% of patients did not report a previous history of previous surgical evacuation, and more
than half of them did not have a history of previous abortions. More than 88% of cases of placenta accreta were
reported among those with late gestational age. In more than 76% of the patients, the placental position was in
an anterior position. Cesarean hysterectomy was the most commonly used surgical intervention. Also, more
than two-thirds of them needed a blood transfusion. Furthermore, 75% of placenta increta occurred among
anterior placental positions.
Conclusion
The morbidly adherent placenta is common in patients with repeated cesarean section. Cesarean hysterectomy
is the traditional method of managing mean arterial pressure (MAP) to prevent severe blood loss and other
maternal morbidities.

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