A Single Center Experience on the Management of Placental Invasion Abnormalities

Year 2016, , 14 - 18, 01.03.2016

Alper Biler Atalay Ekin , Cenk Gezer , Ulaş Solmaz , Nuri Peker , Aykut Özcan Mehmet Özeren

https://doi.org/10.5799/jcei.328659

Abstract

Objective: The aim of this study is to investigate our management of placental invasion abnormalities.
Methods: A retrospective study was conducted on patients admitted to a tertiary referral center with a diagnosis of
placental invasion abnormalities between 2011 and 2015. Risk factors and perinatal outcomes associated with placental
invasion abnormalities were identified.
Results: The overall incidence of placental invasion abnormalities during the 5-year period was 8.3/10000 deliveries,
which showed an increasing trend. Ultrasonography and magnetic resonance imaging correctly identified placental
invasion abnormality in 36.7% and 68.7% cases, respectively. Majority of patients (55.1%) with adherent placenta were
diagnosed at the time of delivery. Of these patients, 22.4% underwent hysterectomy, 83.8% required at least one of the
additional surgical procedures and 55% were transfused at least four units of packed red blood cell.
Conclusion: Since placental invasion abnormalities are associated with significant morbidity, delivery should be scheduled
in a tertiary center with appropriate expertise and facilities. J Clin Exp Invest 2016; 7 (1): 14-18

Keywords

placenta accreta, placenta increta, placenta percreta, placental invasion abnormality

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