Prevalence of Morbidly Adherent Placenta in Previous Scar
DOI:
https://doi.org/10.48047/e4h1y896Abstract
Background: Morbidly adherent placenta is life threatening complication that leads to increasing prevalence of C section. It leads to greater risks of maternal morbidity and death due to hemorrhage or caesarean delivery complications.
Objective: The aim of this study was to find out the Prevalence of morbidly adherent placenta in previous
scar.
Materials and method: The current prospective study was completed at the department of Gynaecology and Obstetrics Pir Abdul Qadir Shah Jeelani institute of Medical Sciences Gambat from January 2024 to January 2025 after taking approval from ethical board of the institute. The sample size was determined through WHO calculator. A total of 216 individuals participated in this study. We recorded the type of MAP, number of previous scars, parity, and complications for all participants. SPSS Version 24 was used to analyze the data. For quantitative data, mean and standard deviation were computed, while for qualitative factors, frequencies and percentages were used.
Results: In our study we examined 216 individuals of different age groups, out of which 14.3% participants had morbidly adherent placenta. The most prevalent type of placenta was Placenta accreta 16 (7.4%). MAP was most common in age group 20-25 years old individuals (7.6%). The incidence of a single caesarean scar was 3 (1.3%), double was 5 (2.3%), and triple was 10 (4.6%), and fourth was 13 (6%). Complications seen in participants were substantial blood loss, bladder injury, reopening, and acute
renal injury.
Conclusion: Our study concluded that MAP is a rare disorder that affects women with a history of previous scar. The Prevalence of morbidly adherent placenta in previous scar was 14%. The most common type of MAP was Placenta accreta.
Keywords: Morbidly adherent placenta; Previous scar; Placenta accreta
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