Analisis Kejadian Plasenta Akreta di RSUP H. Adam Malik Medan Tahun 2016-2019

Abstract

Placenta accreta is considered a life-threatening condition and is a cause of maternal death. Placenta accreta causes 7% -10% of cases of maternal mortality worldwide. Previous Sectio Ceasarea (SC) and uterine surgery are the most common risk factors for placenta accreta. Placenta accreta occurs when villous placenta invades directly into the myometrium. The incidence of placenta accreta increases with increasing incidence of SC. this wa is descriptive with a retrospective study. From 2016 – July 2019 there were 59 cases of placenta accrete with an increase in the number each year. Risk factor for the history of sectio ceasarea (94,8%). Sectio ceasarea + hysterectomy is a procedure of placenta accreta. There were no maternal mortality from 2016 – 2019 up to July. The annual incidence of placenta accreta increases each years mean risk factors dominant placenta accreta is history sectio ceasarea.

The Association of Age, Parity, and History of Cesarean Section with the Occurrence of Placenta Accreta Spectrum (Pas) at H. Adam Malik Hospital in Medan 2020-2022

“…Research in 2022 using medical record data from H. Adam Malik Hospital in Medan from January 2016-July 2019 showed an increasing trend, with 1 case in 2016, 9 cases in 2017, 26 cases in 2018, and 23 cases in 2019, a total of 59 cases over 4 years. This increase is due to the increase in the number of cesarean sections each year, which is a major risk factor for PAS according to the study [9]. Risk groups that included younger (<20 years) and older (>35 years) age at first pregnancy, higher gravida, lower education level, and presence of anemia in pregnant women had a higher risk of PAS [10].…”