Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Original Research 
RMJ. 2020; 45(4): 813-816


Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines

Nosheen Akhtar, Arifa Bari, Fatima Nazim, Zartaj Hayat.

Abstract
Objective: To evaluate placenta accrete spectrum rate in women having previous cesarean deliveries and placenta previa major/low-lying anterior placentas.
Methodology: All pregnant patients with previous cesarean section diagnosed as placenta previa major operated between Jan 2017 to July 2019 were included in the study. Data were collected from Medix tm, OT register and morbidity register.
Results: A total of 27 cases of previous cesarean section with major degree placenta previa were operated during the study period. Doppler ultrasound was performed in all cases. The diagnosis of placenta accreta spectrum was made in 63% (n=17) of cases. Out of 17 cases diagnosed with Doppler ultrasound, diagnosis was confirmed per operatively in 11(64.7%) cases. Out of 10 cases in which placenta accrete was ruled out by Doppler scan, one case of placenta accreta was found during cesarean section. The sensitivity of Doppler ultrasound was 91.6% while specificity was 56.2%. Significant morbidity was seen in all 12 case of placenta accreta. Cesarean hysterectomy was performed in 11 out of 12 cases (91%), while PPH and blood products transfusion were done in all 12 cases (100%). Bladder injury was seen in one case 11%.
Conclusion: Placenta accrete spectrum is associated with significant morbidity. However, the operative approach needs improvement to reduce the morbidity. As the cesarean section is the major risk factors for this devastating complication, the obstetricians must make every attempt to avoid unnecessary cesarean section.

Key words: Placenta accrete, caesarean section, placenta previa.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Nosheen Akhtar
Articles by Arifa Bari
Articles by Fatima Nazim
Articles by Zartaj Hayat
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Akhtar N, Bari A, Nazim F, Hayat Z. Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines. RMJ. 2020; 45(4): 813-816.


Web Style

Akhtar N, Bari A, Nazim F, Hayat Z. Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines. http://www.rmj.org.pk/?mno=67396 [Access: December 18, 2020].


AMA (American Medical Association) Style

Akhtar N, Bari A, Nazim F, Hayat Z. Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines. RMJ. 2020; 45(4): 813-816.



Vancouver/ICMJE Style

Akhtar N, Bari A, Nazim F, Hayat Z. Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines. RMJ. (2020), [cited December 18, 2020]; 45(4): 813-816.



Harvard Style

Akhtar, N., Bari, . A., Nazim, . F. & Hayat, . Z. (2020) Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines. RMJ, 45 (4), 813-816.



Turabian Style

Akhtar, Nosheen, Arifa Bari, Fatima Nazim, and Zartaj Hayat. 2020. Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines. Rawal Medical Journal, 45 (4), 813-816.



Chicago Style

Akhtar, Nosheen, Arifa Bari, Fatima Nazim, and Zartaj Hayat. "Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines." Rawal Medical Journal 45 (2020), 813-816.



MLA (The Modern Language Association) Style

Akhtar, Nosheen, Arifa Bari, Fatima Nazim, and Zartaj Hayat. "Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines." Rawal Medical Journal 45.4 (2020), 813-816. Print.



APA (American Psychological Association) Style

Akhtar, N., Bari, . A., Nazim, . F. & Hayat, . Z. (2020) Comparison of diagnosis and management options for placenta accreta spectrum with standard guidelines. Rawal Medical Journal, 45 (4), 813-816.








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


Indexed in WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED,  Scopus and Web of Science

                     Approved by the Higher Education Commission of Pakistan 


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.