An obstetrician’s nightmare: Placenta Accreta - A Retrospective study.
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 3
Abstract
Purpose : to study the complications encountered in women with placenta accreta. Materials and methods: in a retrospective study from July 2014 to July 2017, the total number of maternal admissions, total deliveries, total number of caesarean sections, total number of placenta accreta cases was noted. Patients’ parameters like age, gestational age, parity, history of previous caesarean section or D&C, perioperative complications, maternal and neonatal morbidity and mortality were noted. Results: out of the total number of maternal admissions of 7832, 2698 were the number of LSCS performed and there were 282 cases of major degree placenta praevia. 14 patients had placenta accreta. The mean gestational age was 36 weeks. The mean blood loss was 2,928.57 mL (range 1,500-4,500). The average amount of PRBC transfused was 7 units. Two patients had bladder involvement suggestive of placenta percreta. Four patients had serious postoperative complications. There was one maternal mortality. There were five NICU admissions and no neonatal mortality. Conclusion: caesarean hysterectomy is the most challenging operation in modern obstetrics and is associated with high maternal morbidity and mortality.
Authors and Affiliations
* Amrit Pal Kaur Dhillon, **Simran Kaur Saini, ***N. S. Neki
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