THE RISK OF PLACENTA ACCRETA FOLLOWING PRIMARY ELECTIVE CAESAREAN DELIVERY

AI QURESHI; Z ANWAR; M RAZZAQ; N TAJ

doi:10.54112/bcsrj.v2023i1.259

Authors

AI QURESHI Department of Obs & Gynae, Bakhtawar Amin Trust Hospital Multan, Pakistan
Z ANWAR Department of Obs & Gynae, The Raiwand Hospital, Indus Hospital & Health Network, Pakistan
M RAZZAQ Department of Obs & Gynae, Rural Health Centre Lalsuhanra Bahawalpur, Pakistan
N TAJ Department of Obs & Gynae, Nishtar Medical Hospital Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.259

Abstract

The retrospective study was conducted in Gynecology Department, Nishtar Medical Hospital, to assess the risk of placenta accrete after the primary (first) emergency or elective c-section. The study was conducted on data from women with placenta accreta who underwent primary C-sections from 2017 to 2020. Analysis was done through variably matched sets. Data on cases and controls was extracted from hospital records. There were 70 women in the study group and 115 in the control group. Results showed that of 70 cases, 40 (57.1%) had placenta accreta, 16(22.8%) had placenta increta, and 14 (20%) had placenta percreta. A significantly higher number of cases than controls had primary elective c section (P<.001). The elective C-section had a significantly higher risk of subsequent placenta accreta than the emergency C-section (P=0.025). Thus, it was concluded that the primary elective C-section modifies the risk of subsequent placenta accreta.

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References

Akhade, S. P., Ghormade, P. S., Bhengra, A., Chavali, K., and Hussain, N. (2020). Uterine scar rupture at the site of the placenta accreta presenting as a case of sudden death. Autopsy and Case Reports 11.

Amjad, A., Usman, A., Alvi, F. S., Farooq, M., Shahram, N., Jalil, A., and Fischer, F. (2020). Upsurge of caesarean sections in Pakistan: A qualitative study on perceptions of women and gynaecologists.

Booker, W., and Moroz, L. (2019). Abnormal placentation. In "Seminars in perinatology", Vol. 43, pp. 51-59. Elsevier.

Flores‐Mendoza, H., Chandran, A. R., Hernandez‐Nieto, C., Murji, A., Allen, L., Windrim, R. C., Kingdom, J. C., and Hobson, S. R. (2022). Outcomes in emergency versus electively scheduled cases of placenta accreta spectrum disorder managed by cesarean‐hysterectomy within a multidisciplinary care team. International Journal of Gynecology & Obstetrics 159, 404-411.

Heena, A. B., and Kumari, G. (2020). Retrospective study of placenta accreta, placenta increta and placenta percreta in Peripartum hysterectomy specimens. Indian Journal of Pathology and Microbiology 63, 87.

Hou, J.-H., Lee, T.-H., Wang, S.-Y., Lai, H.-C., and Mao, S.-P. (2021). Spontaneous uterine rupture at a non-cesarean section scar site caused by placenta percreta in the early second trimester of gestation: a case report. Taiwanese Journal of Obstetrics and Gynecology 60, 784-786.

Jauniaux, E., Hecht, J. L., Elbarmelgy, R. A., Elbarmelgy, R. M., Thabet, M. M., and Hussein, A. M. (2022). Searching for placenta percreta: a prospective cohort and systematic review of case reports. American Journal of Obstetrics and Gynecology 226, 837. e1-837. e13.

Jauniaux, E., and Silver, R. M. (2020). Rethinking prenatal screening for anomalies of placental and umbilical cord implantation. Obstetrics & Gynecology 136, 1211-1216.

Jauniaux, E., Zosmer, N., Subramanian, D., Shaikh, H., and Burton, G. J. (2020). Ultrasound-histopathologic features of the utero-placental interface in placenta accreta spectrum. Placenta 97, 58-64.

Mahmood, A., and Sultan, M. (2006). National Institute of Population Studies (NIPS)(Pakistan), and Macro International Inc. Pakistan Demographic and Health Survey 7, 123-45.

Nahum-Yerushalmy, A., Walfisch, A., Lipschuetz, M., Rosenbloom, J. I., Kabiri, D., and Hochler, H. (2022). Uterine rupture risk in a trial of labor after cesarean section with and without previous vaginal births. Archives of Gynecology and Obstetrics 305, 1633-1639.

Parris, K. M., Amabebe, E., Cohen, M. C., and Anumba, D. O. (2021). Placental microbial–metabolite profiles and inflammatory mechanisms associated with preterm birth. Journal of Clinical Pathology 74, 10-18.

Shynlova, O., Boros-Rausch, A., Farine, T., Adams Waldorf, K. M., Dunk, C., and Lye, S. J. (2021). Decidual inflammation drives chemokine-mediated immune infiltration contributing to term labor. The Journal of Immunology 207, 2015-2026.

Shynlova, O., Nadeem, L., Zhang, J., Dunk, C., and Lye, S. (2020). Myometrial activation: Novel concepts underlying labor. Placenta 92, 28-36.

Vyas, R. C., Patel, P. A., Shah, S., Vala, S. N., and Patel, N. B. (2019). Morbidly adherent placenta: management is real challenge. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, 1092.

Wender, M. C. O., Duarte, R. G., Muller, G. C., Cavalheiro, R. R., Silva, Y. A. L. C., Carboni, C., and Valério, E. G. (2022). Factors Associated with the Chance of Carrying out a Primary Cesarean in a University Hospital. Revista Brasileira de Ginecologia e Obstetrícia 44, 640-645.