مقالے کی معلومات
جلد
شمارہ
مقالے کی قسم
زبان
تلخیص
Objective:To assess the prevalence of placenta accreta and, to examine the effects of booking status & management of the placenta accreta during the third stage on maternal outcomes.Study Design: Descriptive cross sectional study Place of study: Military hospital, Rawalpindi Duration of study: March, 2016 to Feb, 2018 Methodology:Women having placenta accreta diagnosed intraoperatively or during histopathological examination of placenta after hysterectomy were served as cases. Once the diagnosis of placenta accreta was made, then further information was recorded in the questionnaire by following that patient till recovery/death. Descriptive statistics and independent samples t-test were used for analysis.Results:Out of 11430 deliveries during the study period,48 women were enrolled with diagnosis of placenta accreta thus making its incidence 41.4/10,000. 14.6% were booked and 85.4% were non-booked. Antenatal complications included antepartum hemorrhage (60.4%) and postpartum hemorrhage (22.9%). Majority were transfused with <5 RCC (Red Cell Concentrate) transfusions (60.4%). 95.8% had undergone hysterectomy. Injuries to the viscera were found in 66.7% patients. Sepsis was found in 10.4 % and disseminated intravascular coagulation in 12.5% women. Mortality rate was 8.3%. The correlation between visiting history and complications is highly significant i-e correlation value is 0.379 with the significance value of 0.08.Conclusion:This study has highlighted a sharp rise in the incidence of placenta accreta in the recent years because of increasing cesarean section rates. Booking status has significant correlation with the complications encountered by these women.
Umairah Yaqub, Maria Habib. (2018) Incidence of Placenta Accreta and Association of Booking Status with Maternal Outcomes based on a study in a Tertiary Care Hospital of Rawalpindi, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-08, Issue-4.
-
Views
300 -
Downloads
34