INCIDENCE OF FETOMATERNAL OUTCOMES IN CASES WITH MORBIDLY ADHERENT PLACENTA

U KHALID; PI GUL; M MAZCURI; MAI QURESHI; S RIAZ; M SALEEM

doi:10.54112/bcsrj.v2023i1.264

Authors

U KHALID Department of Gynaecology, Social Security Hospital Shahdara, Pakistan
PI GUL Department of Gynaecology, South Punjab Hospital Multan, Pakistan
M MAZCURI Department of Gynaecology, Omer Hospital Lahore, Pakistan
MAI QURESHI Department of Gynaecology, Bakhtawar Amin Trust Hospital Multan, Pakistan
S RIAZ Department of Gynaecology, Horizon Hospital Lahore, Pakistan
M SALEEM Department of Gynaecology, Silver Jubilee Maternity & Children Hospital, District Branch Sahiwal, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.264

Keywords:

Maternal Mortality, Cesarean Section, Feto-Maternal Outcomes, Placental Abnormalities

Abstract

The prospective study was conducted in tertiary hospitals' Department of Obstetrics and Gynaecology from January 2022 to June 2022 to assess the incidence of feto-maternal outcomes in cases with morbidly adherent placenta. The study was conducted on 155 women fulfilling the inclusion criteria. Demographic and medical data were recorded. The procedure was performed using a lower-segment approach, and complications were managed according to protocol. Results showed that of 155 women, post-partum hemorrhage occurred in 35.5%, massive blood loss in 66.5%, bladder injury in 14.2%, maternal ICU admission in 35.5%, maternal mortality in 9%, small for gestational age in 21.9% and NICU admission in 26.5%. Results showed that morbidly adherent placenta could cause life-threatening feto-maternal complications; placental disorders must be diagnosed and managed to reduce morbidity and mortality.

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