Maternal Outcome of Cases of Placenta Previa with and without Morbidly Adherent Placenta at King Abdul-Aziz University Hospital, Saudi Arabia - Open Journal of Obstetrics and Gynecology

OJOG > Vol.8 No.13, November 2018

Maternal Outcome of Cases of Placenta Previa with and without Morbidly Adherent Placenta at King Abdul-Aziz University Hospital, Saudi Arabia ()

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DOI: 10.4236/ojog.2018.813142 845 Downloads 2,539 Views Citations

Author(s)

Ashraf Radwan¹, Abdel Magid Abdou¹, Sausan Kafy², Mamdouh Sheba¹, Hassan Allam^1*, Moaz Bokhari¹, Majed Almutairi¹

Affiliation(s)

¹Department of Obstetrics and Gynecology, King Abdul-Aziz University, Rabigh Branch, Rabigh, KSA.
²Department of Obstetrics and Gynecology, King Abdul-Aziz University Hospital, Jeddah, KSA.

ABSTRACT

Introduction: Worldwide increasing cesarean section rates are expected to have a parallel increase in the number of cases of Placenta Previa with all the expected complications, including pathologically adherent placenta. This morbidly adherent placenta constitutes a serious and possibly a life threatening complication. An efficient team capable for managing possible complicated situations will be able to reduce mortality and morbidity. Objectives: The aim of our study was to evaluate maternal outcome in cases of Placenta Previa with and without morbidly adherent placenta. Methods: Analysis of all pregnancies complicated by antepartum hemorrhage during the period from January 2013 to September 2017 at King Abdul-Aziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia (KSA) was done. Cases of Placenta Previa with gestational age > 28 weeks were included. They were classified into 2 groups; Group (A) included Placenta Previa cases without morbidly adherent placenta and Group (B) included cases with morbidly adherent placenta. Maternal outcomes were recorded. Results: Placenta Previa was the leading cause of antepartum hemorrhage constituting 76.8%, out of them 52% were unbooked. Morbidly adherent placenta constituted 13.5% of total Placenta Previa cases and was diagnosed prenatally in only 1 case. Morbidity rate in placenta previa patients with adherent placenta (Group B) was higher than in placenta previa without adherent placenta (Group A). We considered the occurrence of intrapartum hypovolemic shock, Intensive care unit admission, surgical complications and peripartum hysterectomy as parameters for morbidity. P value for hypovolemic shock was insignificant (P = 0.580), significant for Intensive care unit admission (P = 0.008), significant for surgical complications (P = 0.009) and significant for peripartum hysterectomy

KEYWORDS

Maternal Outcomes, Placenta Previa, With and without Adherent Placenta

Share and Cite:

Radwan, A. , Abdou, A. , Kafy, S. , Sheba, M. , Allam, H. , Bokhari, M. and Almutairi, M. (2018) Maternal Outcome of Cases of Placenta Previa with and without Morbidly Adherent Placenta at King Abdul-Aziz University Hospital, Saudi Arabia. Open Journal of Obstetrics and Gynecology, 8, 1414-1422. doi: 10.4236/ojog.2018.813142.

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