World Journal of
Pharmaceutical and Life Sciences

INTERVAL HYSTRECTOMY IN CASES OF PLACENTA ACCRETA MANAGEED BY RETAINED PLACENTA

Beenish Zafar, Iqra Ashraf and Sara Fatima Cheema*

ABSTRACT

Objective: To determine the frequency of interval hysterectomy in cases of placenta accreta treated with retained placental surgery. Methodology: This was a descriptive case series conducted at Department of Obstetrics & Gynecology, Sheikh Zayed Hospital, Rahim Yar Khan. In this study 50 cases diagnosed with placenta accreta with age range of 18 to 40 years were selected. The diagnosis of placenta accreta was made on ultrasonography and all stages were included. Then these cases were delivered in the hospital and after delivery of the fetus, the placenta was retained in the body. Interval hysterectomy was labelled as yes where the uterus had to remove within one month of prior surgery. Results; In this study there were total 50 cases of placenta accreta. The mean age pf the participants was 27.31±3.89 years and mean duration of gestation was 34.41±2.78 weeks at delivery (table 01). Interval hysterectomy was done in 7 (14%) of the cases. Interval hysterectomy was done significantly high in cases those were multiparous where it was seen in 6 (18.18%) of the cases with p value of 0.03 (table 02). There was no significant difference in terms of duration of gestation for interval hysterectomy (p= 0.84). Conclusion; Interval hysterectomy is not a rare intervention done in cases of placenta accreta and is done significantly high in multiparous women.

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