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

Objective: 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. Study Design: Cohort Study. Setting: The study was carried out
in department of Obstetrics and Gynecology Nishtar Hospital Multan. Population: Method:
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.
Results: 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. Conclusions: 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.