Current practice in abnormally invasive placenta in a tertiary hospital in northern India and its clinical outcome
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2018, Vol 2, Issue 6
Abstract
Objective: The aim of this study was to know the current practice in patients with abnormally invasive placenta in the context of a rising caesarean delivery rate, evaluate our antenatal and intraoperative management and see the maternal and perinatal outcome in these patients. Material and Methods: A prospective study was carried out in 19 women with abnormally invasive placenta in the Department of Gynecology, PGIMER, Chandigarh, India between Jan 2015 – April 2016. The profile of these patients was recorded in a predesigned proforma and maternal and perinatal outcome analyzed in detail. A critical analysis for improvement for better outcome was done. Results: All 19 patients who had antenatal diagnosis of abnormally invasive placenta had previous cesarean scar with co-existing placenta previa. Massive blood loss during cesarean section was the predominant feature in all patients. In these patients, performing a classical CS, not trying to remove the placenta and proceeding directly to hysterectomy resulted in reduced blood loss (1900±1057.7ml) compared to trying to remove the placenta and then proceeding to hysterectomy (2500±707ml). All patients had requirement of blood transfusion with minimum of single PRBC to maximum of 7 units. All patients antenatal diagnosis of abnormally invasive placenta was again confirmed during intra-operative period and ultimately all 19 of them had peripartum hysterectomy. No maternal mortality was recorded. Conclusion: Abnormally invasive placenta has high maternal as well as neonatal morbidity. Previous caesarean section remains the major risk factors for abnormally invasive placenta. So, every effort should be made to avoid cesarean delivery which will further reduce the development of abnormally invasive placenta.
Authors and Affiliations
Jaiswal Ekta, Aggarwal Neelam, Suri Vanita, Bagga Rashmi, Kalra Jasvinder, Gupta Pradeep
Keywords
Related Articles
- EP ID EP504890
- DOI -
- Views 161
- Downloads 0
Predictive significance of serum Cystatin-C and serum lipids in preeclampsia
Introduction: Preeclampsia is a devastating pregnancy-associated disorder characterized by the onset of hypertension, proteinuria, and edema with limited plausible pathophysiology known. Cystatin-C, a novel marker for th...
Management of benign adnexal masses: A comparative study of laparoscopy vs. laparotomy
Background: For last two decades operative laparoscopy has become a routine for benign adnexal masses. Objective: To compare the safety and efficacy of laparoscopy and laparotomy for the management of benign adnexal mass...
Assessment of etiologic factors for depression among females: A clinical study
Background: Depression is the most common illness worldwide and the leading cause of disability. They estimate that 350 million people are affected by depression. It is predicted that depression will be the second leadin...
Awareness and knowledge of human papillomavirus, cervical cancer and human papillomavirus vaccines, and acceptance of human papillomavirus vaccination among female undergraduate students on a University Campus
Background: The awareness and knowledge of HPV, cervical cancer and HPV vaccines are essential for the acceptance of HPV vaccination. Objective: To determine the awareness and knowledge of HPV, cervical cancer and HPV va...
A study of prevalence of thalassemia in antenatal patients in Deen Dayal Upadhyay Hospital, Delhi – A 1998 scenario
The haemoglobinopathies are autosomal recessive inherited disorders of haemoglobin synthesis (thalassaemias) or structure (sickle cell disorders) that are responsible for significant morbidity and mortality on a worldwid...