Maternal Outcome in Patient having Morbid Adherence of Placenta after Hysterectomy
Placenta Previa
DOI:
https://doi.org/10.61581/MJSP.VOL02/01/04Keywords:
Morbidly adherent placenta, hysterectomy, maternal outcom, pregnancy, gynecologyAbstract
Objective: To determine maternal outcome in patient having morbid adherence of placenta after hysterectomy.
Methodology: Cross sectional study was conducted in the department of obstetrics and gynaecology Nishter hospital and Khawaja Fareed Social Security Hospital, Multan from August 2018 to August 2019. One hundred and eight patients with MAP on transabdominal ultrasonography (USG). All the patients had hysterectomies. All these patients were assessed for outcome parameters (urinary bladder injury, DIC and death). SPSS version 23 was used for data analysis. Student t test and chi square test were applied to see association among variables. P value ?0.05 was taken as significant.
Results: The complications were present in 27 (25%) patients. Urinary bladder injury, DIC and mortality was observed in 23 (21.3%), 2 (1.9%), and 2 (1.9%) patients. There were 81 (75%) patients who did not have any complication.
Conclusion: Maternal outcome after hysterectomies for treatment of badly adherent placenta was associated with significant rate of morbidity. To reduce maternal mortality rate diagnosis of morbidly adherent placenta in antenatal period is necessary and caesarean hysterectomy is the best treatment option.
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Copyright (c) 2021 Rahat Akhter, Asiya Rehman, Rabia Rehman, Rahat Akhtar, Tayyaba Rafiq, Wadiyat Khan
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