Maternal and fetal outcome of morbidly adherent placenta in a tertiary care institute: A retrospective one year study

Abstract

Background: Morbidly adherent placenta, a grave complication of pregnancy is becoming an emerging cause of increased maternal morbidity and mortality. Objectives of present study are to evaluate the demographic profile, high risk factors, fetomaternal outcome in Morbidly adherent placenta (MAP). Methods: It was a retrospective study at kam; attached Department of Obst. Gynae, KRH and J.A. Group of Hospitals, G.R.M.C. Gwalior from July 2015 to June 2016. Results: In this study of 13 cases of morbidly adherent placenta of Department of Obst. Gynae, KRH and J.A. Group of Hospitals, G.R.M.C. Gwalior from July 2015 to June 2016 were studied, it was found that most of the cases belongs to 26 to 30 year age. 77% cases were unbooked and 23% cases were booked with regular ANC visit. 61.5% cases were already diagnosed case of placenta praevia. 100% cases had a history of previous LSCS. 80% cases were given BT intra operatively and postoperatively. 76% cases underwent caesarean hysterectomy, 100% cases were shifted to ICU, and there was one maternal death. Conclusions: Caeserean section and placenta previa were significant risk factors in our study. Morbidly adherent placenta and its variants are associated with several adverse maternal and fetal outcome. Early antenatal diagnosis of morbidly adherent placenta, proper counselling of patients regarding associated risk is the management option to reduce maternal morbidity and mortality.