A Single Center Experience on the Management of Placental Invasion Abnormalities

• Main Authors: Alper Biler, Atalay Ekin, Cenk Gezer, Ulaş Solmaz, Nuri Peker, Aykut Özcan, Mehmet Özeren
• Format: Article
• Language: English
• Published: Modestum Publishing LTD 2016-03-01
• Series: Journal of Clinical and Experimental Investigations
• Subjects: placenta accreta; placenta increta; placenta percreta
• Online Access: http://jceionline.org/upload/sayi/30/JCEI-01276.pdf

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