Placenta previa accreta; comparison of outcome of antenatal diagnosed cases in previous caesarean scar with undiagnosed cases of placenta previa accreta in previous caesarean scar

ABSTRACT

To compare outcome of antenatal diagnosed cases of placenta previa accreta in previous caesarean scar with undiagnosed cases of placenta previa accreta in previous caesarean scar.Cohort Study. The study was carried out in department of Obstetrics and Gynecology Nishtar Hospital Multan. Population Total 206 cases were included in the study divided into two groups. Group A had 103 antenatal diagnosed cases of placenta previa accreta in previous caesarean scar and Group B comprised 103 cases un-diagnosed having placenta previa accreta in previous caesarean scar. Outcome Measure: Outcome was determined in terms of morbidity [i.e Hysterectomy] and mortality. It was found that hysterectomy was performed in 47 [45.6%] vs 36 [35%] diagnosed and un-diagnosed cases respectively. 9 [8.7%] vs 2[1.9%] cases died in diagnosed and undiagnosed Cases respectively. No significant difference in term of morbidity was found between diagnosed and un- diagnosed cases of placenta previa accreta in previous caesarean scar. Mortality was high in diagnosed cases of placenta previa accreta in previaous caesarean scar