masterThesis
Acretismo placentario: perfil clínico y complicaciones en gestantes del hospital universitario clínica San Rafael, 2009 - 2016
Fecha
2017Autor
Patiño Delgado, Julián Fernando
Benitez Rueda, Monica
Institución
Resumen
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.