Incidence and Risk Factors of Morbidely Adherent Placenta in Cases with Previous Caesarean Section in Benha University Hospital

S.A.Elbery , M.A.Mahmoud, A.E.Mansour, M.F.Rashed and H.E.Salem"
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Abstract


Morbidly adherent placenta (MAP) is defined as the abnormal adherence of placenta to the underlying uterine wall. Strange placental adherence can be grouped into three particular conditions: placenta accreta; placenta increta, and placenta percreta where chorionic villi infiltrate through the uterine serosa and may attack encompassing. The points of this examination were to decide the occurrence of sullenly Adherent Placenta in cases with past cesarean segment in Benha University from December 2018 till June 2019.Also to decide the epidemiological elements in instances of Morbidly Adherent Placenta according to ordinary placenta. The imminent examination was done at Benha University Hospital, from December 2018 till June 2019 where a sum of 33 ladies who satisfied the consideration standards were enlisted into the investigation. Coming up next were accomplished for all case: history, clinical assessment and ultrasonography assessment. Level of Morbidity Adherent Placenta was (36.4%).Percentage of Accreta (18.2%), Focal Accreta (3.0%), Percreta (15.2%). There were measurably critical increment in Number of Previous CS among cases with Morbidly Adherent Placenta than cases without Morbidly Adherent Placenta.There were factually noteworthy increment in Gravidity (frail) and Parity and maternal age among cases with Morbidly Adherent Placenta than cases without Morbidly Adherent Placenta. Ladies with an earlier cesarean conveyance had a high frequency of MAP. The most common sullen bond was placenta accumulate. Expanded frequency of MAP with expanding number of past cesarean conveyances. There was additionally an expanded danger of MAP related with more seasoned maternal age. Multiparity and multigravidas have been proposed as being related with a higher danger of MAP

Key words


Morbidly adherent placenta. Previous cesarean section. Incidence. Risk factors.