MORBIDLY ADHERENT PLACENTA IN PATIENTS WITH PLACENTA PREVIA AND FETO-MATERNAL OUTCOMES
Main Article Content
Keywords
Morbidly adherent placenta, placenta previa, feto-maternal outcomes
Abstract
Background: Morbidly adherent placenta (MAP) is a severe obstetric complication characterized by the excessive attachment of the placenta to the uterine wall. Placenta accreta, placenta increta, and placenta percreta are different diseases that fall within a spectrum.
Aim: the objective of this research was to ascertain the prevalence of MAP in patients diagnosed with placenta previa and assess its influence on both foetal and maternal outcomes.
Study Design: Descriptive case series
Duration and Place of the Study: This study was conducted at the Department of Obstetrics and Gynecology, Rehman Medical Institute, Peshawar, from July 2022 to June 2023.
Material and Methods: The research sample consisted of 58 pregnant women who were diagnosed with placenta previa and previously had a caesarean surgery. The research excluded patients with a prior history of uterine surgery excluding caesarean section and multiple pregnancies. Fetomaternal outcomes were noted.
Results: Mean age of patients was 32.5 ± 4.6 years. The prevalence of MAP in patients with placenta previa was shown to be 17.2%. A majority of the patients (72.4%) were multiparous. 86.2% of patients had painless vaginal bleeding as the most frequent first symptom. The average gestational age at the time of diagnosis was 32.6 ± 2.8 weeks. Postpartum hemorrhage was observed in 41.4% patients and perinatal mortality was 17.2%.
Conclusion: The prevalence of MAP in patients with placenta previa is substantial and it is linked to significant feto-maternal complications and mortality. Prompt identification and appropriate treatment are essential for enhancing outcomes for both the mother and the newborn.
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Faiza Rahman
Senior Registrar, Department of Obstetrics and Gynecology, Rehman Medical Institute, Peshawar – Pakistan
Zeenat Khan
Consultant Gynecologist, Doctor Hospital, Kohat – Pakistan
Asma Ghani
Senior Registrar, Department of Obstetrics and Gynecology, Mercy Teaching Hospital, Peshawar – Pakistan
Ayesha Gul
Medical Officer, Police Services Hospital, Peshawar – Pakistan
Zainab Naveed
Consultant Gynecologist, District Headquarter Hospital, Kasur – Pakistan
Waseem Sajjad
Department of Medicine, King Edward Medical University, Lahore – Pakistan
Shehzadi Khushbakht Zaman
Postgraduate Resident, Department of Obstetrics and Gynecology, Lady Reading Hospital, Peshawar - Pakistan