Placenta accreta syndrome: A rising epidemic in obstetrics

Abstract

Objectives:The aims of our study were to determine incidence of placenta accreta syndrome and correlate it with the risk factors. Methods: A clinicohistopathological study had been done on the basis of clinical, radiological and histopathogical analysis. Obstetric hysterectomy specimens were studied and those diagnosed as placenta accreta syndrome were investigated in detail for history of Caesarean section. Results: The incidence of placenta accreta syndrome is 4.3 per 10,000 deliveries. The study revealed the placenta accreta syndrome in younger age group (mean age 27 yrs) and showed its relation with risk factors such as previous caesarean section (76% cases), placenta praevia (53% cases) and multiparity (92%). Conclusions: With high index of suspicion in presence of known risk factors and appropriate radiological investigations, this syndrome can be diagnosed antenatally and planned efforts to avoid life threatening haemorrhage and early hysterectomy can be made.

Faktor Risiko dan Luaran Maternal Plasenta Akreta di RSUP Dr. M. Djamil Padang

“…1 Plasenta akreta di India dilaporkan sebesar 4,3 per 10.000 kelahiran hidup. 4 Plasenta akreta merupakan komplikasi obstetri yang dapat menyebabkan morbiditas dan mortalitas pada ibu. Dilaporkan angka morbiditas sebesar 60% dengan mortalitas sebesar 7%.…”

How to Reduce the Incidence of Placenta Accreta Spectrum Independently of the Number of Cesarean?

“…Placenta accreta spectrum (PAS) is growing worldwide, 1 reaching epidemic proportions in many countries. There is not a simple and global solution to reduce the incidence of cesarean, because it is affecting by multifactorial problems.…”