Placenta Previa Accreta -Cesarean hysterectomy by senior surgeons lowers maternal morbidity & mortality
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 6
Abstract
Objective- To assess significant reduction in maternal morbidity & mortality in cases of placenta previa having morbidly adherent placenta, i.e. Placenta previa accreta (PPA) with currently available surgical treatment options especially if done by senior surgeons. Methods- This is a retrospective study of all women with placenta previa having morbidly adherent placenta (accreta) admitted in our unit of the Department of Obsttetrics & Gynaecology , Govt. Medical College Amritsar which is a tertiary care centre, over a period of ten years from January 2008 to December 2017. Data was compiled from hospital registers. Collected data was analyzed for maternal morbidity & mortality along with assessment of other related factors. Results- Out of total 10820 births, placenta previa was found in 274 cases ( 2.5 %). A total of 34 cases of placenta previa accreta were identified out of 274 cases of all placenta previa cases during this period giving overall incidence rate of 12.4% in placenta previa cases. In all these PPA cases, cesarean hysterectomy was done by senior faculty. There was only one death in this period (mortality 2.9%). Conclusion- Placenta previa accreta is associated with high morbidity & mortality but if we suspect the gravity of condition antenataly, all cases of PPA especially with previous surgery are managed by cesarean hysterectomy done by senior faculty, then maternal morbidity & mortality is markedly reduced.
Authors and Affiliations
*Preetkamal Bedi,**Davinderpal, ***Nisha Bhagat,**** NS Neki
Keywords
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- EP ID EP563090
- DOI 10.22192/ijcrms.2018.04.06.014
- Views 108
- Downloads 0
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