Journal of Women's Health Care
Open Access
ISSN: 2167-0420
ISSN: 2167-0420
Abels Peter
School of Medicine and Health Sciences,
Wellington, PO Box 7343, Wellington South-6242
New Zealand
Research Article
Materno-fetal Outcomes in Patients with Abnormally Invasive Placenta: A 14 Year Experience
Author(s): Langdana Fali, Yogender Yadav, Maharaj Dushyant, Abels Peter, Purdie Gordon, Tait John and Elder Rose
Langdana Fali, Yogender Yadav, Maharaj Dushyant, Abels Peter, Purdie Gordon, Tait John and Elder Rose
Objectives: To establish the incidence of abnormally invasive placenta (AIP); determine trends in the diagnosis and management; and assess maternal and neonatal morbidity associated with AIP.
Methods: Women were identified from a tertiary care referral hospital perinatal database (2000-2013) and crosschecked with confirmed histopathology. Verification of undetected cases using perinatal ultrasound database was performed. Risk factors, antenatal suspicion, hospital course, intrapartum management, maternal and neonatal outcomes were obtained from medical records.
Results: Thirty eight women had AIP confirmed providing an incidence of 1 per 1420 deliveries. The incidence rose by 55% (95% Confidence interval (CI) 37% - 279%) over the 14 year period (Poisson regression). An antenatal diagnosis of AIP was made in 63% (95% CI 4.. View More»
DOI:
10.4172/2167-0420.1000286