ABSTRACT

Aim: To calculate the frequency of morbidly adherent placenta in pregnant women presenting with history of cesarean section in previous pregnancy and to assess the frequency of post –operative complications in patients with abnormal adherence of placenta.

Study design: Descriptive case series

Place and duration of study: Department of Obstetrics & Gynecology Unit IV, Lady Aitchison Hospital, Lahore, from 2^nd September 18, 2019 to 2^nd March, 2020.

Methodology: Two hundred and forty five females admitted in the labour room fulfilling the inclusion criteria were recruited in the study. The females, then underwent ultrasonography. Placental position was checked on ultrasound and if placenta was not in position then it was labeled as a case of morbidly adherent placenta. Then females were followed during and after delivery, obstetrical complications like postpartum hemorrhage, and hysterectomy were noted.

Results: The mean age of the patients was 29.34±5.58 years. 60(24.5%) patients were primipara, 60(24.5%) were Bipara, 62(25.3%) were tripara, and 63(25.7%) Quadripara. The mean gestational age was 37.08±1.38 weeks.

Conclusion: 14.3% women cesarean section in previous pregnancy had morbidly adherent placenta in this pregnancy.  Among these women (69%) suffered from Postpartum hemorrhage and (51%) underwent hysterectomy .This gives an idea that a significant number of patients with low lying placenta and previous section result in morbidly adherent Placenta which may lead to life threatening sequel.

Keywords: Adherent placenta, Morbidly, Complications, Postpartum hemorrhage, Hysterectomy