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1 - The 3rd Annual International Conference on Information and Sciences
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Placental adhesion disorder, or placenta accreta, is caused by a decidua basalis shortage that leads to the chorionic villi penetrating the myometrium. Different types of placental adhesion disorders are classified according to the degree of uterine adhesion. Cesarean Hysterectomy is indicated in cases of morbid adherence of the placenta in various age groups during childbearing age.

Evaluation of the influence of placental adhesion on hysterectomy at the time of cesarean in near-missed pregnant women and assessment of factors that increase its incidence among Iraqi women.

This research encompassed a case-control study involving 64 pregnant women, with the participants selected from Al-Yarmouk Teaching Hospital. The pregnant patients were divided into two groups. The first group consisted of thirty-two pregnant women with emergency cesarean hysterectomy due to placental adhesion. The second group was made up of thirty-two pregnant women with elective cesarean hysterectomy due to placental adhesion.

In the present study, it has been found that there are no significant differences in the age of patients who undergo elective cesarean hysterectomy as compared to emergency cesarean hysterectomy (p > 0.05). Also, according to the gestational age, most elective surgery patients are full-term pregnancies; meanwhile, the emergency cases are mostly preterm. Elective patient parity was higher than emergency cases at three parity 13 vs 9. The patients with emergency cesarean hysterectomy showed that the presence of two or more scars in the uterus was accreta in about 72% of patients. Meanwhile, the elective patients with placental adherence showed a higher frequency of two or more scars, the same as observed in emergency cases. Still, there were more emergency cases than elective cases.

There are elevations in the incidences of placental adhesion, reflecting the increase in cesarean hysterectomy surgeries and near-miss cases.

© 2024 Abed, Abbood, licensee HBKU Press.
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2024-01-25
2024-07-11
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/content/journals/10.5339/jemtac.2024.cism.7
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Near miss cases during cesarean hysterectomy due to morbid adherence of placenta at Al-Yarmouk Teaching Hospital
Journal of Emergency Medicine, Trauma and Acute Care 2024, 7 (2024); https://doi.org/10.5339/jemtac.2024.cism.7
/content/journals/10.5339/jemtac.2024.cism.7
/content/journals/10.5339/jemtac.2024.cism.7
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Keyword(s): cesarean, hysterectomy, near-miss and placental adhesion

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