Feto-Maternal Outcome in Pregnant Women with Morbidly Adherent Placenta
DOI:
https://doi.org/10.70749/ijbr.v3i4.3019Keywords:
Fetal growth retardation, Placenta accreta, Hysterectomy, Postpartum haemorrhage, Pregnancy complicationsAbstract
Background: Morbidly adherent placenta is a serious obstetric conditions in which placenta abnormally attached to uterus and cannot be separated easily. It is associated with high maternal and fetal complication especially in settings with increasing caesarean section rate and poor antenatal care. Objective: To determine the frequency of feto-maternal outcomes in pregnant women with morbidly adherent placenta. Study Design: Cross sectional study. Duration and Place of Study: This study was carried out from April 2024 to October 2024 in Department of Obstetrics and Gynaecology, Lady Reading Hospital, Peshawar. Methodology: A total of 87 pregnant women aged 18–40 years with diagnosis of morbidly adherent placenta on ultrasonography were included. Patients were followed till delivery and immediate postpartum period. Mean and standard deviation were calculated for numerical variables, while frequencies and percentages were calculated for categorical variables using Statistical Package for Social Sciences version 23. Results: Mean age was 31.62 ± 4.96 years and mean gestational age was 34.74 ± 2.39 weeks. Neonatal intensive care unit admission was seen in 34(39.1%) cases. Fetal growth restriction was observed in 20(23.0%) cases, while intrauterine fetal demise was noted in 3(3.4%) cases. Postpartum haemorrhage occurred in 40(46.0%) women. Hysterectomy was performed in 62(71.3%) patients. Conclusion: Morbidly adherent placenta is associated with high maternal and fetal morbidity. Postpartum haemorrhage and hysterectomy were most common maternal complications.
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