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Morbidly Adherent Placenta: Its Management and Maternal and Perinatal Outcome
H K Chaudhari1, P K Shah2, Natasha D'Souza2
1Department of Obstetrics and Gynaecology, Seth G. S. Medical College and K.E.M. Hospital, Mumbai, India ; B/4, Highland Harmony, Opposite Panchasheel Joggers Park, Mahavir Nagar, Kandivali (W), Mumbai, 400 069 India.
Journal of Obstetrics and Gynaecology of India
|March 1, 2017
Summary
Morbidly adherent placenta, often linked to prior Cesarean sections, requires multidisciplinary planning for optimal outcomes. Early antenatal diagnosis is key to managing this high-risk obstetric condition.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Morbidly adherent placenta (MAP) is a significant obstetric complication.
- Risk factors and management strategies require further investigation.
Purpose of the Study:
- Identify risk factors for morbidly adherent placenta.
- Evaluate management modalities and patient outcomes.
Main Methods:
- Retrospective and prospective observational study.
- Conducted in a tertiary care hospital in Mumbai (Jan 2012 - Nov 2014).
Main Results:
- MAP incidence was 1.32 per 1000 pregnancies.
- 90% of patients had a history of Cesarean section; 63% had co-existing placenta previa.
- Uterine preservation techniques (balloon placement, embolization, methotrexate) were used in 27% of cases, with blood loss of 1000-2000 mL.
Conclusions:
- Antenatal diagnosis of MAP is crucial.
- Multidisciplinary planning can minimize maternal and neonatal morbidity/mortality.
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