The effect of different diagnostic timings and types of placenta accreta on the pregnancy outcome

• Published in: Indian journal of pathology & microbiology 2021-04, Vol.64 (2), p.288-293
• Main Authors: Xu, Rongli, Cai, Lihong, Xu, Shuxia, Yan, Jianying
• Format: Article
• Language: English
• Subjects: Adult; antenatal diagnosis; Blood transfusion; Blood transfusions; Cesarean section; Coagulation; Complications; Diagnosis; Diagnostic systems; Disseminated intravascular coagulation; Female; Fetuses; Hemorrhage - complications; Humans; Hysterectomy; Placenta; Placenta - pathology; placenta accreta; Placenta Accreta - diagnosis; Placenta Accreta - pathology; Placenta Previa; Postpartum Period; Pregnancy; Pregnancy Complications - diagnosis; Pregnancy Complications - pathology; Pregnancy Outcome; Pregnant women; Prenatal Diagnosis; Retrospective Studies; Risk analysis; Risk Factors; Statistical analysis; Transfusion; types of placenta accreta; Uterine Perforation - complications
• ISSN: 0377-4929; 0974-5130
• DOI: 10.4103/IJPM.IJPM_60_20

Objectives: To explore the effects of maternal and fetal outcomes after different diagnostic timings of placenta accreta and its types. Methods: We retrospectively collected the clinical information of 1178 pregnant women with placenta accreta in Fujian Maternity and Children Health Hospital from January 2012 to January 2017. According to the different diagnostic timings of placenta accreta, they were divided into groups of prenatal diagnosis and postpartum diagnosis; and according to the types of placenta accreta, they were divided into groups of accreta group, increta group, and percreta group. Results: 1. Women with antenatal diagnosis more often had placenta previa and history of previous cesarean section. 2. Women with antenatal diagnosis had a higher rate in blood loss and blood transfusion. 3. The rate of blood loss, blood transfusion, infection,disseminated intravascular coagulation (DIC), secondary laparotomy, hysterectomy had statistically significant differences (P < 0.05) in different types of placenta accreta. The deeper of placenta accreta, the higher the incidence of complications. Conclusion: It is important to pay attention for risk factors of the placenta accreta, then improve prenatal diagnostic rate of the placenta accreta and its types, which can forecast the severity of illness to improve maternal and fetal outcomes.