Study of Management of Morbidly Adherent Placenta and Maternal and Perinatal Outcome
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 7
Abstract
The aim of the study was to identify the risk factors associated with morbidly adherent placenta and to study the different modes of management and the maternal and perinatal outcome of these patients. Methods This was a retrospective cum prospective observational study conducted in the Department of Obstetrics and Gynaecology in Government Medical College, Bettiah from March, 2016 to March 2018. Results The incidence of morbidly adherent placenta was 1.43 per 1000 pregnancies with patient profile comprising second gravida in the age group 25–27 years; 90 % of the patients in this study had previous Caesarean section and co-existing placenta praevia was diagnosed in 62 %. Fifty-three per cent of the women delivered between 35 and 37 weeks and 40 % had elective deliveries. Caesarean section was the mode of delivery in 90 % of the patients. Prophylactic balloon placement in the internal iliac artery followed by classical Caesarean section, and post-operative methotrexate was done in 27 % which preserved the uterus and was associated with the blood loss of 1000–2000 mL. Conclusion Antenatal diagnosis of morbidly adherent placenta allows for multidisciplinary approach and planning in an attempt to minimize potential maternal or neonatal morbidity and mortality.
Authors and Affiliations
Malvika Kumud
Keywords
Related Articles
- EP ID EP512304
- DOI -
- Views 121
- Downloads 0
A Study of Comparative Efficacy and Safety of Two Different Drug Regimen in the Management of Dermatophyte Infection.
Background: Superficial fungal infections of the skin, hair and nail are a major cause of morbidity in the world, particularly in the tropics, where heat and humidity provide the ideal conditions for the growth of fungi...
Histopathological study of Appendix: A Study In Consecutive 1000 appendectomies
Introduction-Appendicitis is a very common surgical emergency and has a lifetime risk of 7%.It is approximately 1.4 times greater in men than in women. Misdiagnosis and delay in surgery can lead to complications like per...
Vitamin D Deficiency: A Novel Biomarker for Cardiovascular Disease.
Background: Vitamin D deficiency is prevalent in most parts of the world. The prevalence of vitamin D deficiency in India in urban area 9-11% and in rural area 3-6%.Coronary artery disease is global health problem and co...
Significance of Ultrasound Finding of Minimal Free Fluid in Pelvis in Paediatric Blunt Trauma Abdomen Patients: A Retrospective Study and Review of Literature.
Aim: The aim of this study is to evaluate the significance of the minimal pelvic free fluid finding on ultrasound. Method - The clinical and imaging data of 102 patients with blunt trauma abdomen were evaluated retrospec...
Association of Adiponectin with Components of Metabolic Syndrome in Western U.P.
Introduction: Obesity is common and unequivocally associated with several serious complications as Metabolic Syndrome (MetS). Despite considering obesity as a defaulter in reducing life expectancy, an exponential weight...