An analysis of maternal-fetal prognosis in patients with placenta accreta

Abstract

Objective: To retrospectively analyze the clinical data and outcome of patients with placenta accreta.

Methods: The clinical parameters of a total of 66 patients with placenta accreta who had received a C-section were analyzed and the patients were grouped and stratified for the analysis.

Results: Of the patients with or without a history of 0–2 C-sections, 15 patients received hysterectomy, adherent placenta was observed in two patients, placenta increta was observed in five patients, and placenta percreta was observed in eight patients, as confirmed by the postoperative pathological results. Blood loss was higher in the patients with a previous history of uterine scarring and an ultrasound diagnosis than in those without a history of uterine scarring and those in the control group and blood loss increased with the depth of placenta implantation. The incidence of hysterectomy was higher in the patients with 4–9 pregnancies or a postoperative diagnosis of placenta percreta than in the patients in the control group. The rate of hysterectomy was lower in the patients who received comprehensive management.

Conclusion: More blood loss was reported in the patients with a history of uterine scarring and C-sections should be limited in these patients. Comprehensive management was associated with a lower rate of hysterectomy.

Keywords:

• Hysterectomy
• placenta accreta
• prevention measures

Acknowledgments

The authors gratefully acknowledge the useful suggestions of Prof Yang-yu Zhao and her team at Peking University Third Hospital in China.

Disclosure statement

The authors declare that they have no conflicts of interest.

Additional information

Funding

This study was supported by Capital Health Development Research Project [Grant No. 2016–1–4091].