RISK FACTORS AND OUTCOME OF MORBIDLY ADHERENT PLACENTA IN SULAYMANIYAH MATERNITY TEACHING HOSPITAL
DOI:
https://doi.org/10.17656/jsmc.10323Keywords:
Placenta Accreta, Morbidly, Risk Factor, SulaimaniAbstract
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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