Abstract

Aim: To identify the frequency of morbid adherent placenta (MAP) in women with previous C-section.

Methods: In this cross-sectional study, we included 138 patients from the department of obstetrics and gynecology, MMDC Multan, Pakistan. within a duration of 1 year from March-2019 to March-2020. The duration of the scar and the reason for the scar was noted, the MAP category type was also done. Diagnosis of MAP was made using doppler ultrasonography.

Results: Out of total of 138 patients 17(12.3%) were diagnosed with MAP. The placental accrete type MAP has found in 7 (5.07%) women, placenta increta in 6(4.34%) and placenta percereta in 4(2.89%) women. 64 (46.37%) women underwent C-section (CS), 46(33.33%) women myomectomy, and 28(20.28%) women hysterectomy. There was 34(24.63%) women scar duration of less than 2 years, 46(33.33%) women scar duration of 2 to 5 years, 42(30.43%) women scar duration of 5 to 10 years, and 16(11.59%) women more than 10 years.

Conclusion: The morbidly adherent placenta is life-threatening in case of delayed diagnosis, the frequency of MAP is lot higher in women those who have a previous history of the scar. All three types of MAP can have a chance of occurrence in 2-5 years of scar history.

Keywords: morbid adherent placenta, Uterine scar, C-section.