Placental complications among Iraqi Pregnant Women with Placenta Accreta

Abstract

Background: Placenta accreta is an abnormal attachment of the placenta to the myometrium. It is the most common reason for an emergency postpartum hysterectomy, which is a major cause of maternal morbidity and mortality. If placenta accreta has been detected or suspected prior to birth, the best time to deliver is about (34-35) weeks, with a multidisciplinary team strategy to prevent complications during birth such as uterine infection, massive vaginal bleeding, uterine wall rupture, and uterine inversion secondary due to tried manual placenta removal.

Aims of the study: To assess placenta complications for pregnant women with placenta accreta and to assess the obstetrical history of pregnant women with placenta accreta.

Methodology: This study was conducted at Maternity wards in Baghdad City's. The study sample consists of (410) pregnant women diagnosed with placenta accreta out of 58,600 cesarean sections. Retrospective study for last three years ago, of January /2018 to December/ 2020, The data collected of patient records in the Statistical Department of the hospitals.

Results: The results of the study showed that all women suffer of the adherence of the placenta to the uterine wall at a rate of (100%). The study found (45.6%) of women needing from 4 to 5 pints of blood, the amount of blood transferred to the mother after childbirth. Also, about (52.7%) was noticed to be a critical cesarean delivery requires a multidisciplinary surgeon.

Conclusion: women diagnosed with placenta accreta suffer of adhesion placenta to the uterine wall and need a blood transfusion during the delivery process, as well as the need to provide a multidisciplinary surgeon because some women have the adhesion extended to the organs adjacent to the uterus.

Recommendations: Increase awareness of women regarding the complications of placenta accreta, Encourage women to commit to prenatal visits and early diagnosis is important to minimize complications.