Shabnam Naseer Awan, Rabia Mohsin, Pareesae Humayun, Sadia Khan, Zubda Anwar, Sadiqa Batool Naqvi.
Frequency of morbidly adherent placenta in pregnant women with previous uterine scar and its associated maternal outcomes.
Pak J Med Health Sci Jan ;13(4):1345-7.

Aim : To determine the frequency of morbidly adherent placenta and it’s associated maternal outcomes. Methods: The descriptive cross -sectional study was carried out on 180 pregnant women with age between 15 to 45 years, carrying singleton pregnancy, having previous uterine scar due to cesarean section. The study was conducted in CMH Hospital, Multan from January -20 18 to OCT -2019. Maternal outcomes in terms of intra and post -operative complications such as need for blood transfusion, bladder repair, emergency hysterectomy, ICU admission, surgical site infections, and mortality was main study outcome. Results: Mean age of women was 31.28±3.58 years. MAP was diagnosed in 17(9.44%) women, out of which placenta increta was presented in 11 (6.1%) cases, placenta accreta vera in 4(2.2%) and percereta in 2(1.1%) cases. Mean gestational age in women in MAP was 34.62±2.78 weeks . Most common complication was bleeding requiring blood transfusion occurred in 76.5% cases, emergency hysterectomy was needed in 76.47% cases, bladder repair in 11.7% cases and 35.2% cases required admission in ICU. Mortality occurred in 2(11.8%) women with MAP. Conclusion: Morbidly adherent placenta is a common presentation among patients with previous scar. Bleeding is the commonest complication in these patients, many of these patients require admission in ICU. These patients also have higher mortality rate.

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