Morbidly adherent placenta: management and maternal outcome
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2017, Vol 3, Issue 7
Abstract
Background: Morbidly adherent placenta(MAP) is one of the potentially life threatening conditions and most feared complications causing high morbidity and mortality in obstetrics. The objective of this study is to identify the risk factors to analyse different management options and maternal outcome in different cases of MAP. Methods: This is a retrospective study carried out on 36 patients of MAP(Morbidly adherent Placenta) in a tertiary health centre from July 2015 to January 2017. Diagnosis of MAP was made with the help of Ultrasonography, color Doppler study and MRI in patients presenting in the OPD and emergency department. Almost all the patients were managed by operative delivery with TAH(Total Abdominal Hysterectomy) as the most common procedure done. Different risk factors for MAP, management protocols and maternal outcome were studied in these patients. Results: 36 cases of MAP who presented in OPD and emergency were identified. In this study, frequency of MAP was found to be 1 per every 381 births. Most of the patients had previous scarred uterus and many underwent peripartum hysterectomy. Only 3 patients died in this study. The neonates of mothers whose MAP were suspected prior to delivery were born premature and required ventilatory support, admission to NICU with prolonged hospital stay.Conclusion: MAP is more common in patients with previous Caeserean section with anterior implantation of placenta and in multiparous women. Antenatal diagnosis of morbidly adherent placenta followed by elective TAH without separating the placenta adapting multidisciplinary approach is the best surgical option to reduce maternal mortality and morbidity.
Authors and Affiliations
*Sujata Sharma,**Upasana,***Anita Madan, ****Amarjeet Kaur
Keywords
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- EP ID EP569649
- DOI 10.22192/ijcrms.2017.03.07.007
- Views 118
- Downloads 0
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