A PROSPECTIVE STUDY OF MATERNAL AND FETAL OUTCOMES IN PATIENTS WITH MORBIDLY ADHERENT PLACENTA AT TERTIARY CARE CENTER

Abstract

Background: Placenta accreta also known as Morbidly Adherent Placenta (MAP) is a complex obstetric complication and is a relatively new disorder of placentation.

Methods: It was a prospective, non-invasive, observational study of 80 pregnant females presenting at or above 28 weeks of gestation with placenta previa and history of one or more prior caesarean in department of Obstetrics and Gynecology, SMS Medical College, Jaipur. Written informed consent was taken. After thorough history and examination, they underwent both ultrasonography/MRI to find out factors in favor of MAP. They were followed till pregnancy was terminated and their feto-maternal outcomes were analyzed.

Result: On comparing intraoperative findings, cases with placenta accreta had more operative time, blood loss, bladder injury and requirement of hysterectomy. Maternal drop in hemoglobin after surgery, postoperative hospital stay and blood product requirement were more. Mortality rates were higher. Fetal and neonatal outcomes were not significantly affected by placenta accreta.

Conclusion: On comparing the feto-maternal outcomes in patients with placenta accreta, we conclude that this condition adversely affect and associated with maternal morbidity and mortality while fetal outcomes are not affected by this condition directly.

Key words: MAP; Placenta Accreta; Fetomaternal outcomes