A study of morbidly adherent placenta and its effect on maternal and neonatal outcome
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 2
Abstract
Background: Morbidly Adherent Placenta (MAP) encompasses Placenta Accreta, Placenta Increta and Placenta Percreta, an obstetrical emergency and a condition of faulty placentation. Derivation of accrete comes from the Latin ac + crescere – ‘to grow from adhesion or coalescence, to adhere or to become attached to’ (Benirschke, 2012). Although this was once a rare phenomenon, it is becoming increasingly common. As subsequently discussed, it is closely linked to prior uterine surgery. Early antenatal diagnosis and an effective team approach is the key element for management of ‘MAP’ with effective maternal and neonatal outcome. Aim: A study of morbidly adherent placenta and its effect on maternal and neonatal outcome Objectives: To understand the Incidence of ‘MAP’, Evaluation of risk factors and its effect on of Maternal and Neonatal outcome. Materials and Methods: Study design: Retrospective study, Study period: January 2014 – September 2018. Place of study: Department of OBGY MGM medical college and research centre, Aurangabad Study population: All patients with morbidly adherent placenta within the study period Results: The percentage of patients with MAP has increased from 0.0004% in 2014 to 0.1% in 2018 attributed to the increasing incidence of caesarean deliveries / uterine surgeries. 90% of the patients had a previous history of LSCS. We had no maternal mortality and 70% of the cases had good neonatal outcome. Conclusion: ‘MAP’ is a serious obstetric emergency with a reported maternal mortality rate of 7-10%. Though most cases are detected antenatally which gives the obstetrician an opportunity to plan the course of pregnancy and termination, a few cases are detected at the time of delivery. Keeping a planned delivery as the goal, a backup plan should be developed for every patient, which includes following an institutional protocol for management of Antepartum haemorrhage. Key Words: Antepartum Haemorrhage, Placenta Accreta, Morbidly Adherent Placenta, Placenta Accreta Syndromes, Internal Iliac Artery ligation.
Authors and Affiliations
Shweta Rameshkumar, Shubhangi Mande, Laxmi Rachakonda
Keywords
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- EP ID EP470480
- DOI 10.26611/10128210
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