Evaluation of pregnancy outcomes and different management options used in Morbid Adherent placenta

Abstract

Introduction: MAP is defined as invasion of the placental chronic villi in to the myometrium, either invading myometrium superficially (accreta), or deeply (increta), or fully and or neighbouring organs (percreta) .The management of MAP is caesarean hysterectomy. Conservative uterine sparing approaches are performed in patients with strong desire for future fertility& hemodynamic stability. The aim of this work is the evaluation of different management options for MAP & its effect on pregnancy outcomes to find the best approach to decrease MAP associated morbidity & mortality. Methods: Study included 42 MAP Previa patients Who underwent history taking, examination, investigations, different management operative options. Maternal and fetal outcome were recorded. Results: The postoperative complications are DIC, reoperations, postpartum collapse in 2 patients (4.8%), ICU admission in 5 cases (11.9%), wound infection, retained products of conception, chorioamnionitis & pulmonary embolism in 1 patient (2.4%). Conclusion : Management of MAP may be individualized, according to the hemodynamic stability & desire for future fertility. Key words: Placental disorders, Placenta accreta , Morbidly Adherent Placenta, Management of placenta accreta, postoperative complications of placenta accreta Abbreviations: MAP: Morbidly Adherent Placenta, CS: caesarean section. ——————-