The separation of the morbidly adherent placenta
from its underlying placental bed is the major cause of massive obstetric hemorrhage.
The most common indication of EOH in our study was uterine atony (25%) followed by morbidly adherent placenta
(21%) and uterine rupture (17%).
The morbidly adherent placenta
is a hypervascular organ; it recruits a host of blood vessels, largely from the vaginal arteries, superior vesical arteries, and vaginal venous plexus.
06 patients had morbidly adherent placenta
previa which is growing cause of peroperative hemorrhage and increasing cause of emergency obstetrical hysterectomy.
6%) and they were more likely to have problems like antepartum haemorrhage (APH) preterm or prolonged labour morbidly adherent placenta
and the risk of malpresentation or an ectopic eventuality in their next pregnancy.
continuation of the pregnancy with the possibility of delivering a live offspring, provided the patient understands that a morbidly adherent placenta
may occur, often necessitating emergency hysterectomy.
The most common causes of obstetric hemorrhage where transcatheter embolization has been found to be effective are vaginal/ cervical laceration, morbidly adherent placenta
and placenta previa.
7%) case of previous 2 LSCS had placenta previa with morbidly adherent placenta
Obstetric haemorrhage results in a significant proportion of maternal deaths worldwide, and abnormally adherent placenta
(AAP), comprising placenta accreta, increta and percreta, is a rare but important cause of haemorrhage.
Morbidly Adherent Placenta
(MAP) includes placenta accreta, placenta increta and placenta percreta.
The dangerous combination of placenta previa, morbid adherent placenta
and previous caesarean section was also found in the series.
Factors were studied in these cases included maternal age, parity, clinical presentation, gestational age, previous surgical procedures, ultrasound findings, type of morbidly adherent placenta
, mode of removal of placenta, PPH, types of treatments offered, blood transfusions required, maternal morbidity and mortality, duration of hospital stay and condition of the patient at the time of discharge.