Acretismo placentario: perfil clínico y complicaciones en gestantes del hospital universitario clínica San Rafael, 2009 - 2016

Abstract

Placenta accreta has been increasing worldwide, especially because of the greater number of interventions done at the uterine level, such as caesarean section, myomectomy affecting up to 0.9% of all pregnancies. This study intended to describe the clinical profile and complications of a cohort of patients with abnormal placenta accreta. Methods: A descriptive longitudinal study was performed with retrospective data collection, including all patients with abnormal placenta accreta in the institution during the period between 2009 and 2016. The analysis is presented in descriptive terms. Results: 41 cases of confirmed placenta accreta were found in the institution, the calculated prevalence was 0.17 / 1000 patients attended. The average gestational age to complete the pregnancy was 34 weeks, 100% had surgical management, 50% required transfusion of blood products, with a median of 4 UGRE. The doppler study and the ultrasound had a low availability in our environment, no patient had access to magnetic resonance studies. Discussion: Despite advances in placenta accreta, it still remains an entity with high morbidity that is difficult to diagnose mainly due to lack of access to health services.