Evaluation of pregnancy outcomes and different management options used
in Morbid Adherent placenta
Abstract
Introduction: MAP is defined as invasion of the placental chronic villi
in to the myometrium, either invading myometrium superficially
(accreta), or deeply (increta), or fully and or neighbouring organs
(percreta) .The management of MAP is caesarean hysterectomy.
Conservative uterine sparing approaches are performed in patients with
strong desire for future fertility& hemodynamic stability. The aim of
this work is the evaluation of different management options for MAP &
its effect on pregnancy outcomes to find the best approach to decrease
MAP associated morbidity & mortality. Methods: Study included 42 MAP
Previa patients Who underwent history taking, examination,
investigations, different management operative options. Maternal and
fetal outcome were recorded. Results: The postoperative complications
are DIC, reoperations, postpartum collapse in 2 patients (4.8%), ICU
admission in 5 cases (11.9%), wound infection, retained products of
conception, chorioamnionitis & pulmonary embolism in 1 patient (2.4%).
Conclusion : Management of MAP may be individualized, according to the
hemodynamic stability & desire for future fertility. Key words:
Placental disorders, Placenta accreta , Morbidly Adherent Placenta,
Management of placenta accreta, postoperative complications of placenta
accreta Abbreviations: MAP: Morbidly Adherent Placenta, CS: caesarean
section. ——————-