Maternal and neonatal outcomes of morbidly adherent placenta in Ain Shams University Maternity Hospital from 2012 to 2017

Abstract

ABSTRACTBackground: Morbidly adherent placenta (MAP) is now a significant obstetric challenge results in significant maternal morbidity and mortality (it is responsible for 7-10% of maternal mortality). The incidence of MAP have increased over the past few decades, this is mainly because of the increasing caesarean delivery rate. Risk factors for MAP include placenta previa, cesarean delivery, high maternal age and high parity.Objective: To investigate patient characteristics and neonatal and maternal outcomes of placenta accreta in Ain Shams from 2012 to 2017.Methods: This is a retrospective study which was carried out in Ain Shams University Maternity Hospital (a major tertiary referral hospital in Egypt) during the period from January 2012 to December 2017 (6 years), the archives of the hospital were examined for hospital records fulfilling the criteria of the study population during the study period. Results: The results revealed that morbidly adherent placenta was recorded during the studied period in 467 cases with an incidence of 6.6/1000 deliveries (0.66%). Conclusion: Early antenatal diagnosis of morbidly adherent placenta through imaging (ultrasound colour doppler and MRI) allows for multidisciplinary planning in an attempt to minimize potential maternal or neonatal morbidity and mortality. Also, proper counselling of patients regarding associated risks reduce maternal morbidity and mortality.