Journal of Gynecology and Obstetrics

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Placenta Accreta Spectrum: An Alarming Situation in Pakistan

Received: 27 December 2023    Accepted: 12 January 2024    Published: 23 January 2024
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Abstract

Placenta accreta spectrum is a generalized term used when placenta firmly adherent with uterus. It has three grades depending upon its invasion into myometrium of uterus. This condition occurs as a consequence of partial or complete absence of decidua basalis. Which allows the placental invasion into the substance of uterus so there will be no clear plane between placenta and uterus. It is a life threatening condition causes considerable fetomaternal morbidities and mortalities. Aim of this study is to determine the incidence of placenta accreta and its association with previous cesarean section. It is a descriptive cross sectional survey Conducted in tertiary care hospital of Pakistan for period of 1 year using non probability purposive sampling technique. Maximum patients about 54.61% were found between 36-42 years. According to gravidity maximum patients about 44.08% were found between G5-G7. More patients were presented about 46.88% at gestational age of 32-35 weeks and incidence of placenta previa was found 7.53% further distribution of patents of placenta previa according to scarred and un scarred uterus was 65.14% and 34.85% respectively. Incidence of placenta accreta in patients with placenta previa with scarred uterus was found 93% and 6.8% patients of placenta previa with scarred uterus have no placenta accrete. Frequency of placenta accreta in previous 1, 2, 3, 4, 5 were as 2.06%, 6.20%, 23.87%, 32.57%, and 35.31% respectively. Occurrence of placenta accreta in unscarred placenta previa was found 2.20% and placenta accrete spectrum not found in unscarred placenta previa 97.79%. Objective of this study was to find out the incidence of placenta accreta system and also determine the association of this condition with previous cesarean section. By diagnosing it antenately fetomaternal morbidities and mortalities can be reduced. And rising rate of cesarean now a days is the main cause of this condition, by controlling the rising rate of cesarean we can reduce the incidence of this condition.

DOI 10.11648/j.jgo.20241201.12
Published in Journal of Gynecology and Obstetrics (Volume 12, Issue 1, February 2024)
Page(s) 8-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Placenta Accreta Spectrum, Cesarean Section, Fetomaternal Outcome

References
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[2] Rizvi SM, Fayaz F, Demographic profile and high risk factors in morbidly adherent placenta. Int J Reprod Contracept Obstet Gynecol. 2016; 5: 1617-1620.
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[10] Fitzpatrick KE, Sellers S, Spark P, et al. The management and outcomes of placenta accrete, increta and percreta in the UK: a population based descriptive study. BTOG 2014; 121: 62-71.
[11] Society for Maternal fetal medicine. Clinical opinion. Placenta accrete. AJOG 2010; 116: 431-439.
[12] Silver RM, Landon MB, Rouse DJ, et al. Maternal morbidity associated with multiple repeat caesarean deliveries. National institute of child health and Human Development-Maternal fetal medicine unit network. Obstetrics and Gynaeclogy 2006; 107: 1226-1232.
[13] shreyasi S, Chanchal S, Sohani V, et al. Prenatal diagnosis &management of morbidly adherent placenta. J Clin Diagn Res. 2017; 11: 1-2.
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  • APA Style

    Asghar, S., Cheema, S. A., Cheema, N. A. (2024). Placenta Accreta Spectrum: An Alarming Situation in Pakistan. Journal of Gynecology and Obstetrics, 12(1), 8-13. https://doi.org/10.11648/j.jgo.20241201.12

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    ACS Style

    Asghar, S.; Cheema, S. A.; Cheema, N. A. Placenta Accreta Spectrum: An Alarming Situation in Pakistan. J. Gynecol. Obstet. 2024, 12(1), 8-13. doi: 10.11648/j.jgo.20241201.12

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    AMA Style

    Asghar S, Cheema SA, Cheema NA. Placenta Accreta Spectrum: An Alarming Situation in Pakistan. J Gynecol Obstet. 2024;12(1):8-13. doi: 10.11648/j.jgo.20241201.12

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  • @article{10.11648/j.jgo.20241201.12,
      author = {Sadia Asghar and Samra Asghar Cheema and Najaf Asghar Cheema},
      title = {Placenta Accreta Spectrum: An Alarming Situation in Pakistan},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {12},
      number = {1},
      pages = {8-13},
      doi = {10.11648/j.jgo.20241201.12},
      url = {https://doi.org/10.11648/j.jgo.20241201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20241201.12},
      abstract = {Placenta accreta spectrum is a generalized term used when placenta firmly adherent with uterus. It has three grades depending upon its invasion into myometrium of uterus. This condition occurs as a consequence of partial or complete absence of decidua basalis. Which allows the placental invasion into the substance of uterus so there will be no clear plane between placenta and uterus. It is a life threatening condition causes considerable fetomaternal morbidities and mortalities. Aim of this study is to determine the incidence of placenta accreta and its association with previous cesarean section. It is a descriptive cross sectional survey Conducted in tertiary care hospital of Pakistan for period of 1 year using non probability purposive sampling technique. Maximum patients about 54.61% were found between 36-42 years. According to gravidity maximum patients about 44.08% were found between G5-G7. More patients were presented about 46.88% at gestational age of 32-35 weeks and incidence of placenta previa was found 7.53% further distribution of patents of placenta previa according to scarred and un scarred uterus was 65.14% and 34.85% respectively. Incidence of placenta accreta in patients with placenta previa with scarred uterus was found 93% and 6.8% patients of placenta previa with scarred uterus have no placenta accrete. Frequency of placenta accreta in previous 1, 2, 3, 4, 5 were as 2.06%, 6.20%, 23.87%, 32.57%, and 35.31% respectively. Occurrence of placenta accreta in unscarred placenta previa was found 2.20% and placenta accrete spectrum not found in unscarred placenta previa 97.79%. Objective of this study was to find out the incidence of placenta accreta system and also determine the association of this condition with previous cesarean section. By diagnosing it antenately fetomaternal morbidities and mortalities can be reduced. And rising rate of cesarean now a days is the main cause of this condition, by controlling the rising rate of cesarean we can reduce the incidence of this condition.
    },
     year = {2024}
    }
    

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    AB  - Placenta accreta spectrum is a generalized term used when placenta firmly adherent with uterus. It has three grades depending upon its invasion into myometrium of uterus. This condition occurs as a consequence of partial or complete absence of decidua basalis. Which allows the placental invasion into the substance of uterus so there will be no clear plane between placenta and uterus. It is a life threatening condition causes considerable fetomaternal morbidities and mortalities. Aim of this study is to determine the incidence of placenta accreta and its association with previous cesarean section. It is a descriptive cross sectional survey Conducted in tertiary care hospital of Pakistan for period of 1 year using non probability purposive sampling technique. Maximum patients about 54.61% were found between 36-42 years. According to gravidity maximum patients about 44.08% were found between G5-G7. More patients were presented about 46.88% at gestational age of 32-35 weeks and incidence of placenta previa was found 7.53% further distribution of patents of placenta previa according to scarred and un scarred uterus was 65.14% and 34.85% respectively. Incidence of placenta accreta in patients with placenta previa with scarred uterus was found 93% and 6.8% patients of placenta previa with scarred uterus have no placenta accrete. Frequency of placenta accreta in previous 1, 2, 3, 4, 5 were as 2.06%, 6.20%, 23.87%, 32.57%, and 35.31% respectively. Occurrence of placenta accreta in unscarred placenta previa was found 2.20% and placenta accrete spectrum not found in unscarred placenta previa 97.79%. Objective of this study was to find out the incidence of placenta accreta system and also determine the association of this condition with previous cesarean section. By diagnosing it antenately fetomaternal morbidities and mortalities can be reduced. And rising rate of cesarean now a days is the main cause of this condition, by controlling the rising rate of cesarean we can reduce the incidence of this condition.
    
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Author Information
  • Department of Obstetrics and Gynecology, Naizi Medical and Dental College, Sargodha, Pakistan

  • Department of Obstetrics and Gynecology, Ganga Ram Hospital, Lahore, Pakistan

  • Department of Obstetrics and Gynecology, Ganga Ram Hospital, Lahore, Pakistan

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