Retrospective study of placenta accreta, placenta increta and placenta percreta in Peripartum hysterectomy specimens

Heena, Azam Begum; Kumari, Gnana

doi:10.4103/ijpm.ijpm_229_19

Cited by 11 publications

(12 citation statements)

References 18 publications

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“…While Heena and Kumari showed women with previous cesarean section had a higher risk of abnormal placentation (55.5%) than placenta previa (33.3%). The risk of pre-eclampsia in our study (10%) was comparable to that of Heena and Kumari (11.1%) [ 12 ].…”

Section: Discussionsupporting

confidence: 84%

“…While the incidence of placenta accreta and increta in our study was comparable to that of Heena and Kumari, the incidence of percreta in our study (20%) was higher than that of Heena and Kumari (5.5%), which may be due to older maternal age among these women [12]. Increased maternal age is an independent risk factor for abnormal placentation [12][13][14]. In the present study, 80% of the women were multiparous, which corroborates the association of abnormal placentation with increasing parity [12].…”

Section: Discussioncontrasting

confidence: 51%

“…Increased maternal age is an independent risk factor for abnormal placentation [ 12 - 14 ]. In the present study, 80% of the women were multiparous, which corroborates the association of abnormal placentation with increasing parity [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

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A Retrospective Study of Placenta Accreta, Percreta, and Increta in Peripartum Hysterectomies in a Tertiary Care Institute in Northeast India

Dutta¹,

Dey²,

Chanu³

et al. 2020

Cureus

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Background: Abnormal placentation such as placenta accreta, increta, and percreta are frequent causes of post-partum hemorrhage, which results in maternal morbidity and mortality. A previous history of cesarean section, placenta previa, and pre-eclampsia are the important risk factors for abnormal placentation. A reliable antenatal diagnosis and planned surgical approach can reduce the incidence of maternal morbidity and mortality from massive hemorrhage. Aim: To study the incidence of abnormal placentation and the association of various risk factors with abnormal placentation. Material and methods: A retrospective study over a period of eight years in patients with peripartum hysterectomies due to abnormal placentation presenting with massive hemorrhage. Results: We received a total of 10 emergency hysterectomy specimens during an eight‑year period. Of the cases, placenta accreta accounted for 40% (4/10), increta up to 40% (4/10), and percreta 20% (2/10). Analysis of these findings with parity showed 20% of the women were uniparous (2/10), and 80% were multiparous (8/10). Risk factor analysis showed previous cesarean sections in 40% (4/10), placenta previa in 50% (5/10), and pre‑eclampsia in 10% (1/10). Conclusion: The present study highlights the incidence of abnormal placentation in a tertiary care institute in Northeast India. Placenta accreta and increta constituted the major forms of abnormal placentation. Multiparous women with placenta previa followed by previous lower segment cesarean section were more at risk of having abnormal placentation. These findings will guide in antenatal care by risk prioritization and management planning of these patients.

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Section: Discussionsupporting

confidence: 84%

Section: Discussioncontrasting

confidence: 51%

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A Retrospective Study of Placenta Accreta, Percreta, and Increta in Peripartum Hysterectomies in a Tertiary Care Institute in Northeast India

Dutta¹,

Dey²,

Chanu³

et al. 2020

Cureus

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“…In recent years, due to increases in the caesarean section rate and uterine cavity operation rate, the incidence of PAS has increased, and the incidence of related postpartum haemorrhage has also increased [6]. Uncontrollable postpartum haemorrhage can occur when PAS is present in combination with placenta previa [7][8][9]. Caesarean section is the main treatment method for PAS, and haemorrhage control during the operation is key for successful treatment.…”

Section: Introductionmentioning

confidence: 99%

The application of prophylactic balloon occlusion of the internal iliac artery for the treatment of placenta accreta spectrum with placenta previa: a retrospective case-control study

Peng

Jiang

Cheng

et al. 2020

BMC Pregnancy Childbirth

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Background: Severe obstetric haemorrhage caused by placenta accreta spectrum (PAS) results in significant maternal morbidity and mortality. The effectiveness of prophylactic balloon occlusion of the internal iliac artery in PAS patients remains controversial. Therefore, we conducted a retrospective case-control study to investigate the clinical effectiveness of this treatment. Methods: The clinical data of 104 patients with PAS complicated with placenta previa who delivered by caesarean section between January 2016 and January 2019 were collected, and the patients were divided into two groups. The study group (48 cases) underwent internal iliac artery preset balloon occlusion before caesarean section and uterine artery embolisation according to the bleeding status after surgery, while the control group (56 cases) did not undergo internal iliac artery preset balloon occlusion before caesarean section. Results: The operation and hospitalisation times in the study group were longer than those in the control group. Additionally, the hysterectomy rate in the study group was significantly higher than that in the control group. No significant differences in blood loss, blood transfusion volume, urinary system injury, postoperative ICU transfer rate, or neonatal scores were identified between the groups. Among the patients without invasive placenta (placenta increta and percreta), blood loss was lower in the study group, and the caesarean hysterectomy rate did not significantly differ between the groups. Among the patients with invasive placenta, blood loss and the caesarean hysterectomy rate did not significantly differ between the groups. The risk of hysterectomy in the study group was related to invasive placenta penetration, a large area of placental invasion, or abnormal vascular filling. One patient in the study group had a thrombus in the left lower extremity artery.

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“…Maternal age: multiparity was associated with the highest risk of placenta previa. Heena, 2020 13 Other study conducted during an eight-year period, we collected 18 emergency hysterectomy specimens, of which placenta accreta accounted for 55.5% (10/18), placenta increta for 38.8% (7/18), and placenta percreta for 5.5% (1/18). Examination of results by parity reveals that uniparous women account for up to 22,2 percent (4/18), whereas multiparous women account for 77% (14/18).…”

Section: Retrospective Cohort Study 233 Women With Singleton Pregnanciesmentioning

confidence: 99%

Association Between the Age of Pregnant Women and Parity With the Incidence of Placenta Previa : Systematic Review

Perbawa

Juliana

2023

JARMHS

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Placenta previa is associated with an increased risk of premature birth, fetal death during intrauterine development, and asphyxia in neonates. Vaginal bleeding that is not unpleasant is one of the telltale signs of placenta previa. It is estimated that 5.2% of pregnancies would be affected by the common obstetric condition known as placenta previa. Sometimes there are no symptoms associated with placenta previa. During the second half of pregnancy, the primary symptom is vaginal bleeding that is brilliant red and completely painless. Moreover, this syndrome can cause excessive bleeding prior to or throughout the labor process. The uterus should have some scars on it as a result of a surgery or procedure that was performed in the past. a previous pregnancy in which you experienced placenta previa is considered to be a risk factor. Having a previous cesarean section (CS), having an abortion, being older than 35 years old, having more than one child, and using assisted reproductive technologies (ART) such in vitro fertilization are all variables that can increase the likelihood of developing placenta previa (IVF). It appears that the risk of placenta previa increases with both the mother's age and the number of previous pregnancies. Despite the fact that research has shown that the association is not consistent at all.

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Retrospective study of placenta accreta, placenta increta and placenta percreta in Peripartum hysterectomy specimens

Cited by 11 publications

References 18 publications

A Retrospective Study of Placenta Accreta, Percreta, and Increta in Peripartum Hysterectomies in a Tertiary Care Institute in Northeast India

A Retrospective Study of Placenta Accreta, Percreta, and Increta in Peripartum Hysterectomies in a Tertiary Care Institute in Northeast India

The application of prophylactic balloon occlusion of the internal iliac artery for the treatment of placenta accreta spectrum with placenta previa: a retrospective case-control study

Association Between the Age of Pregnant Women and Parity With the Incidence of Placenta Previa : Systematic Review

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