Risk factors and morbidity in patients with placenta previa accreta compared to placenta previa non‐accreta

Zaki, Zaki M. S.; Bahar, A.M.; Ali, Marfoua S.; Albar, Hassan A. M.; Gerais, Mohamed A.

doi:10.1034/j.1600-0412.1998.00015.x

Cited by 53 publications

(49 citation statements)

References 12 publications

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“…Similar observations have been made by other studies. 15,16,17,18,19 There was no major morbidity or mortality directly related to anaesthesia procedure.…”

Section: Discussion-mentioning

confidence: 99%

Caesarean Sections -Are we doing right ?

Bangal¹,

Thorat²,

Patel³

et al. 2012

Int Jour of Biomed Res

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Introduction-Caesarean section is the most commonly performed major emergency surgical procedure in Obstetrics. With the improved caesarean skill of the obstetrician and techniques of anaesthesia, the caesarean section has become a safe surgical procedure .The rate of caesarean section has shown progressive rise in last three decades in most part of the world .The immediate operative morbidity and the likelihood of complications in subsequent pregnancies, raise question marks regarding rising caesarean section rates. Material and methods-Retrospective analysis of 3980 caesarean sections performed at tertiary care teaching hospital over six years period, was undertaken to find out the rate of caesarean sections, indications and associated maternal morbidity and mortality . Results-The rate of caesarean section was in between 20 and 22 percent, during the study period .The rate has been fairly constant throughout the study period. The common indications were previous caesarean section, fetal distress, cephalopelvic disproportion, pre-eclampsia or antepartum haemorrhage. Anaemia and urinary infections resulted in postoperative febrile morbidity. Incidence of wound related complications were not significant .There were twelve maternal deaths, of which six were due to severe uncontrolled hemorrhage from placental bed during caesarean section. Conclusion-Caesarean section rate can be maintained at acceptable limits by judicious selection of cases, allowing vaginal births after caesarean sections, external cephalic versions, assisted vaginal breech deliveries in selected cases and proper interpretation of results of electronic fetal monitors. Pain relief by epidural analgesia can reduce the fear of labour and rate of elective caesarean sections.

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“…Similar observations have been made by other studies. 15,16,17,18,19 There was no major morbidity or mortality directly related to anaesthesia procedure.…”

Section: Discussion-mentioning

confidence: 99%

Caesarean Sections -Are we doing right ?

Bangal¹,

Thorat²,

Patel³

et al. 2012

Int Jour of Biomed Res

View full text Add to dashboard Cite

show abstract

“…But, specifically it has been stated that advanced maternal age and multiparity are associated with a higher risk of PP [11], and that maternal risk of death for hemorrhage is associated with advanced age [12]. In this study, a strong association between maternal age higher than 30 years and the risk of hysterectomy was found; therefore, the estimates of maternal morbidity and mortality in this series must be interpreted with caution [14][15][16][17][18], as the incidence of complications may probably be higher than the one reported here. In summary, the association between advanced maternal age, previous cesarean sections and placenta praevia, increases the risk of placental accretism.…”

Section: Discussionmentioning

confidence: 83%

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2017

MOJS

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“…A delay in the correction of hypovolemia, a delay in the diagnosis and treatment of defective coagulation and delay in the surgical control of bleeding are the avoidable factors in most maternal deaths caused by hemorrhage. Zaki et al, 5 reporting from the same center, defined the risk factors and ultrasound findings in cases of placenta accreta, and concluded that in the presence of previous history of CS, patients with antepartum diagnosis of placenta previa are considered to be at a greater risk of having placenta accreta. When such cases were identified, the patients were required to give written informed consent for hysterectomy preoperatively in case the procedure was necessary, as was the case in seven patients in this study.…”

Section: Discussionmentioning

confidence: 99%

“…2 Previous cesarean section (CS) scar is a risk factor in the development of placenta previa accreta. 4,5 Improvements in diagnostic accuracy and enhancement in planned intervention strategies have been brought about by the introduction and use of ultrasonography and magnetic resonance imaging (MRI) in obstetric practice. This study was aimed at determining the incidence, the predisposing risk factors, and maternal and neonatal effects of major placenta previa in our population.…”

mentioning

confidence: 99%