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Placenta accreta in Kuwait: does a discrepancy exist between fundal and praevia accreta?
1Department of Obstetrics & Gynaecology, Faculty of Medicine, Safat, Kuwait. abrar@hsc.kuniv.edu.kw
Summary
Placenta accreta in the upper or lower uterine segment did not affect maternal or neonatal outcomes. However, implantation site influenced birth weight, gestational age, diagnosis timing, and delivery mode.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Placenta accreta is a significant obstetric complication.
- Understanding the impact of placental implantation site is crucial for patient management.
Purpose of the Study:
- To compare maternal and neonatal outcomes based on the site of placenta accreta (upper vs. lower uterine segment).
Main Methods:
- Retrospective analysis of 16 placenta accreta cases over 11 years.
- Stratification of placenta accreta implantation sites into upper and lower uterine segments.
Main Results:
- No significant differences in maternal/neonatal mortality or uterine conservation between upper and lower segment accreta.
- Significant differences observed in birth weight, gestational age, antenatal symptoms, diagnosis time, and delivery mode based on implantation site.
- Placenta accreta incidence was 9.8 per 100,000 deliveries; rate was 880 per 100,000 with placenta previa.
Conclusions:
- Placenta previa is a confirmed risk factor for placenta accreta.
- Combined placenta accreta and previa present significant clinical implications.