scholarly journals RISK FACTORS AND OUTCOME OF MORBIDLY ADHERENT PLACENTA IN SULAYMANIYAH MATERNITY TEACHING HOSPITAL

2021 ◽  
Vol 11 (3) ◽  
pp. 381-388
Author(s):  
Huda Muhaddien Muhammad ◽  
Keyword(s):  
Risk Factors ◽  
Teaching Hospital ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta

scholarly journals Fetomaternal outcome in morbidly adherent placenta in a tertiary referral hospital

2018 ◽  
Vol 7 (11) ◽  
pp. 4540
Author(s):  
Amudha Paneerselvam ◽  
Asha Sundaram
Keyword(s):  
Risk Factors ◽  
Placenta Previa ◽  
Admission Rate ◽  
Preterm Neonates ◽  
Blood Transfusions ◽  
Tertiary Referral Hospital ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta ◽  
The Mean ◽  
Caesarean Hysterectomy

Background: Morbidly adherent placenta is often associated with major pregnancy complications requiring massive blood transfusions, peripartum hysterectomy, etc. The prior number of caesarean sections and placenta previa are the critical risk factors. The aim of this study is to evaluate the fetomaternal outcome in women with morbidly adherent placenta and to quantify the risk factors predisposing to it.Methods: This is a retrospective cohort study. The study population comprises women, who had C-section for placenta accreta, increta and percreta at Government Raja Mirasudhar Hospital, Thanjavur from May 2016 to September 2017.Results: Eighteen women out of 21,083 who delivered during the study period had morbidly adherent placenta with an incidence of 0.085%. The mean gestational age at the time of C-section was 32.4 weeks. Twelve (66.66%) out of eighteen women had prior one C-section, two (11.11%) women had prior 2 C-section and two (11.11%) women had prior 3 C-section.10 cases were diagnosed antenatally by radiological imaging. Seventeen out of eighteen women underwent caesarean hysterectomy (94.44%). Average blood loss was 1.8 litres. The mean intraoperative blood transfusions were 3 units of PRBC, 3 units of FFP and 1.4 units of platelet. There was no maternal mortality. The average total hospital stay was 20.46 days. 11 neonates were preterm (61%) and 5 neonates were term (27.74%). FGR was seen in 2 preterm neonates (12.5%). The NICU admission rate was 81% (n=13). The perinatal mortality rate was 31.25% (n=5).Conclusions: As most of the women ended up in caesarean hysterectomy, early diagnosis will enable appropriate planning for blood components, anaesthetic and surgical resources, thereby reducing adverse fetomaternal outcomes. This will also allow adequate preoperative counselling of the women involved.

scholarly journals Placenta praevia: percreta and accreta, our experience

2020 ◽  
Vol 9 (3) ◽  
pp. 928
Author(s):  
Preeti F. Lewis ◽  
Shreya Chinchoriya
Keyword(s):  
Risk Factors ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta ◽  
History Of ◽  
Previous Cesarean

Background: morbidly adherent placenta has an increasing incidence over decades. The purpose of this study is to identify risk factors and etiology of placenta previa- accreta and percreta.Methods: A cross sectional observational study of patients with morbidly adherent placenta previa including placenta accreta and placenta percreta were studied over a period of three years from June 2017 to June 2019 in a tertiary care centre, Mumbai.Results: Cases showed a higher incidence in patients with previous cesarean delivery (CS), grandmultiparity, abortions without the history of check curettage and anterior/central placentae.Conclusions: History of uterine surgeries and previous cesarean are some important risk factors for accreta in placenta previa patients.

scholarly journals Maternal Morbidity in Women with Placenta Previa Managed with Prediction of Morbidly Adherent Placenta by Ultrasonography

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Midori Fujisaki ◽  
Seishi Furukawa ◽  
Yohei Maki ◽  
Masanao Oohashi ◽  
Koutarou Doi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Retrospective Cohort ◽  
Maternal Morbidity ◽  
Placenta Previa ◽  
Cumulative Number ◽  
Clear Zone ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta ◽  
Placental Lacunae

Objective. To determine maternal morbidity in women with placenta previa managed with prediction of morbidly adherent placenta (MAP) by ultrasonography. Methods. A retrospective cohort study was undertaken comprising forty-one women who had placenta previa with or without risk factors for MAP. Women who had all three findings (bladder line interruption, placental lacunae, and absence of the retroplacental clear zone) were regarded as high suspicion for MAP and underwent cesarean section followed by hysterectomy. We attempted placental removal for women having two findings or less. Results. Among 28 women with risk, nine with high suspicion underwent hysterectomy and were diagnosed with MAP. Three of 19 women with two findings or less eventually underwent hysterectomy and were diagnosed with MAP. The sensitivity and positive predictive value for the detection of MAP were 64% and 100%. The pathological severity of MAP was significantly correlated with the cumulative number of findings. There were no cases of MAP among 13 women without risk. There was no difference of blood loss between women with high suspicion and those without risk (2186±1438 ml versus 1656±848 ml, resp.; p=0.34). Conclusion. Management with prediction of MAP by ultrasonography is useful for obtaining permissible morbidity.

Studying the Birth Outcome in Tikrit Teaching Hospital

2018 ◽  
Vol 1 (1) ◽  
pp. 55-57
Author(s):  
Areej Noaman
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Teaching Hospital ◽  
Birth Outcome ◽  
Morbidity And Mortality ◽  
Healthy Baby ◽  
Factors Affecting ◽  
Neonatal Deaths ◽  
Healthy Mother

  Background : A successful birth outcome is defined as the birth of a healthy baby to a healthy mother. While relatively low in industrialized world, maternal and fetal morbidity and mortality and neonatal deaths occur disproportionately in developing countries. Aim of the Study: To assess birth outcome and identify some risk factors affecting it for achieving favorable birth outcome in Tikrit Teaching Hospital

Prevalence,Types, and Risk Factors of Birth Trauma Among Neonates atAlRamadi Maternity and Children Teaching Hospital, Western Iraq

2020 ◽  
Vol 23 (18) ◽  
Author(s):  
Sahar J Al-Hiali ◽  
Ammar Muhammed ◽  
Azhar Ahmed Khazraji
Keyword(s):  
Risk Factors ◽  
Teaching Hospital ◽  
Birth Trauma

scholarly journals Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact

2019 ◽  
Vol 6 (1) ◽  
pp. e000233
Author(s):  
Jorge Espinel-Rupérez ◽  
Maria Dolores Martín-Ríos ◽  
Veronica Salazar ◽  
Maria Rosario Baquero-Artigao ◽  
Gustavo Ortiz-Díez
Keyword(s):  
Risk Factors ◽  
Soft Tissue ◽  
Surgical Site Infection ◽  
Economic Impact ◽  
Teaching Hospital ◽  
Primary Outcome Measure ◽  
Site Infection ◽  
Urinary Catheterisation ◽  
Organ Space Infection ◽  
Soft Tissue Surgery

ObjectivesTo determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI.DesignProspective cohort study.SettingVeterinary teaching hospital.Participants184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014).Primary outcome measureSurgical site infection.ResultsOut of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent.ConclusionsThe incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.

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