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Placenta accreta in Aba, south eastern, Nigeria
1Department of Obstetrics, Nigerian Christian Hospital Aba. umeztochi@yahoo.com
Summary
Placenta accreta, a severe pregnancy complication, occurred in 1 in 282 deliveries. Key risk factors included prior C-sections and placenta previa, often leading to hysterectomy and significant maternal/perinatal mortality.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Placenta accreta is a rare, high-risk pregnancy complication.
- Associated with increased maternal mortality, morbidity, and reproductive organ loss.
- Significant burden on healthcare resources.
Purpose of the Study:
- To determine the incidence of placenta accreta.
- To identify demographic characteristics of affected patients.
- To analyze treatment modalities for placenta accreta.
Main Methods:
- Prospective descriptive study.
- 11 cases of placenta accreta observed.
- Data collected between January 2002 and December 2005.
Main Results:
- Incidence rate of 0.35% (1 in 282 deliveries).
- Common risk factors: previous C-section (82%), placenta previa (73%), uterine curettage (54.5%).
- No antenatal diagnoses; high rates of blood loss, transfusion, emergency hysterectomy (72.7%), and significant maternal (9%) and perinatal (27%) mortality.
Conclusions:
- Placenta accreta is a primary cause of obstetric hemorrhage and organ loss.
- Considered a possibility in women with prior C-sections and placenta previa.
- Highlights the critical demand on limited healthcare resources.
