A Single Center Experience on the Management of Placental Invasion Abnormalities
Alper Biler, Atalay Ekin 1 * , Cenk Gezer, Ulaş Solmaz, Nuri Peker, Aykut Özcan, Mehmet Özeren
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1 Kadın Hastalıkları ve Doğum Kliniği, Tepecik Eğitim ve Araştırma Hastanesi, İzmir, Turkey* Corresponding Author

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.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

J Clin Exp Invest, 2016, Volume 7, Issue 1, 14-18

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

Publication date: 01 Mar 2016

Article Views: 2040

Article Downloads: 881

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