Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care Hospital
Objective: This study was carried out to determine whether the rate of abnormal placentation is increasing in concurrence with the cesarean section and to assess risk factors and outcomes with multidisciplinary team interventions and anesthetic practices. Study design: Prospective cohort study....
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2020-06-01
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| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/1130 |
| _version_ | 1818277087310512128 |
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| author | Sumbal Rana Ali Arslan Munir Qudsia Anjum Quraishi Amim Muhammad Akhtar Erum Pervaiz Humna Syed |
| author_facet | Sumbal Rana Ali Arslan Munir Qudsia Anjum Quraishi Amim Muhammad Akhtar Erum Pervaiz Humna Syed |
| author_sort | Sumbal Rana |
| collection | DOAJ |
| description | Objective: This study was carried out to determine whether the rate of abnormal placentation is increasing in concurrence with the cesarean section and to assess risk factors and outcomes with multidisciplinary team interventions and anesthetic practices.
Study design: Prospective cohort study.
Material & Methods: A study was conducted in the department of anaesthesia from January 2014 to December 2017. All candidates under the spectrum of placenta accreta were observed for maternal age, parity, mode of anesthesia, blood loss, and outcome.
Results: Out of 109 patients, the preoperative diagnosis of PAS was made up of 100 (91.74%) and intraoperative diagnosis of 9 (08. 26%) patients. According to the mode of anesthesia, 100 (91.74%) patients received GA, and 09 (08.26%) patients received spinal anesthesia. In 06 (05.49%) patients, spinal was converted to GA. Perioperative CPR was done in 05 (04.58%) cases. Out of 109 cases, 83 survived uneventfully, and 21 developed complications. 05 patients expired in the following days. (01 immediately postoperative period, 02 in 1st 24 hours and 02 in 1st 48 hours.
Conclusion The rate of placenta accreta increased in conjunction with cesarean deliveries; the most important risk factors were previous cesarean delivery, placenta previa, and advanced maternal age and outcomes improved in a multidisciplinary team intervention. |
| first_indexed | 2024-12-12T22:55:58Z |
| format | Article |
| id | doaj.art-c1cade820ff7433189d6778b4eb1ef4f |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-12T22:55:58Z |
| publishDate | 2020-06-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-c1cade820ff7433189d6778b4eb1ef4f2022-12-22T00:08:56ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702020-06-0124210.37939/jrmc.v24i2.1130Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care HospitalSumbal Rana0Ali Arslan MunirQudsia Anjum Quraishi1Amim Muhammad AkhtarErum PervaizHumna SyedHoly family hospitalRICObjective: This study was carried out to determine whether the rate of abnormal placentation is increasing in concurrence with the cesarean section and to assess risk factors and outcomes with multidisciplinary team interventions and anesthetic practices. Study design: Prospective cohort study. Material & Methods: A study was conducted in the department of anaesthesia from January 2014 to December 2017. All candidates under the spectrum of placenta accreta were observed for maternal age, parity, mode of anesthesia, blood loss, and outcome. Results: Out of 109 patients, the preoperative diagnosis of PAS was made up of 100 (91.74%) and intraoperative diagnosis of 9 (08. 26%) patients. According to the mode of anesthesia, 100 (91.74%) patients received GA, and 09 (08.26%) patients received spinal anesthesia. In 06 (05.49%) patients, spinal was converted to GA. Perioperative CPR was done in 05 (04.58%) cases. Out of 109 cases, 83 survived uneventfully, and 21 developed complications. 05 patients expired in the following days. (01 immediately postoperative period, 02 in 1st 24 hours and 02 in 1st 48 hours. Conclusion The rate of placenta accreta increased in conjunction with cesarean deliveries; the most important risk factors were previous cesarean delivery, placenta previa, and advanced maternal age and outcomes improved in a multidisciplinary team intervention.https://www.journalrmc.com/index.php/JRMC/article/view/1130Blood transfusion, Damage control resuscitation, Hemorrhage, Placenta accreta spectrum (PAS). |
| spellingShingle | Sumbal Rana Ali Arslan Munir Qudsia Anjum Quraishi Amim Muhammad Akhtar Erum Pervaiz Humna Syed Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care Hospital Journal of Rawalpindi Medical College Blood transfusion, Damage control resuscitation, Hemorrhage, Placenta accreta spectrum (PAS). |
| title | Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care Hospital |
| title_full | Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care Hospital |
| title_fullStr | Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care Hospital |
| title_full_unstemmed | Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care Hospital |
| title_short | Anaesthetic Practices and Maternal Outcome in Rising Placenta Accreta Spectrum in Tertiary Care Hospital |
| title_sort | anaesthetic practices and maternal outcome in rising placenta accreta spectrum in tertiary care hospital |
| topic | Blood transfusion, Damage control resuscitation, Hemorrhage, Placenta accreta spectrum (PAS). |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/1130 |
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