Online ISSN: 2515-8260

Keywords : Placenta Accreta


Assessment of cases of placenta accreta, placenta increta and placenta percreta in peripartum hysterectomy specimen

Anam Khurshid; Ishani Gupta; Subhash Bhardwaj

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2964-2968

Background: Abnormal placentation can be classified into three distinct entities such as placenta accreta, increta, and percreta. The present study was conducted to assess cases of placenta accreta, placenta increta and placenta percreta in peripartum hysterectomy.
Materials & Methods: 136 peripartum hysterectomy specimen after staining the slide with haemotoxylin and eosin stain, microscopic examination of section was done.
Results: Abnormal placentation was placenta accrete in 71, placenta increta in 45 and placenta percreta in 20 cases. The risk factors was previous LSCS in 84, placenta previa in 40 and pre‑eclampsia            in 12 cases. The difference was significant (P< 0.05). In 50 cases parity was uniparous and in 86 cases multiparous. The difference was significant (P< 0.05).
Conclusion: Abnormal placentation was placenta accrete seen in maximum cases and it is associated with multiparous parity

Ethical And Medicolegal Considerations For Termination Of Pregnancy In Cases Of Placenta Accreta With Massive Bleeding At 18-19 Weeks Of Gestation: A Case Report

Taufik Suryadi; Nurul Fikriani; Kulsum Kulsum

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 2172-2177

Placenta accreta is one of the complications of pregnancy in the form of adhesion of part or total of the placenta to the myometrium which can pose a risk of placenta praevia and massive bleeding. We report a case of a patient aged 41 years during her fifth pregnancy with gestational age 18-19 weeks who experienced placenta praevia totalis with suspected placenta accreta having complaints of recurrent active bleeding from the birth canal. The ethical dilemma that occurs concerns how the action should be taken and when the action is taken? The ethical consideration used in this case is the minus malum principle, namely by considering which one carries the least risk among the two, namely termination of pregnancy or continuing the pregnancy with the risk of threatening the mother's life due to bleeding. Medicolegal considerations used double effect and patient safety principles in obstetrics care. In this case it was decided to do pregnancy termination by total hysterectomy on the basis of maternal safety considerations.

Successful Pregnancy Following Hysteroscopic Adhesiolysis Of Severe Intrauterine Adhesions

Eddy Hartono; Witono Gunawan; Gina Magda Riana

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 76-79

Asherman’s syndrome is an intrauterine adhesions that frequently occurs as a result of trauma to the endometrial layer following intaruterine procedures. We report a case of 30 year old woman with previous history of curretage came with secondary amenorrhea and infertility. Hysterescopic adhesiolysis was performed and directly followed by IUD insertion and hormonal treatment for 3 months. Following three cycles of regular menstruation, the IUD was removed. The patient then underwent ovarian stimulation and got conceived. The antenatal period was uneventful and Cesarean section was performed due to low lying placenta at 39 weeks of gestational age. Delivery process was complicated by placenta accreta that was successfully managed with intrauterine Foley catheter balloon tamponade and bilateral uterine artery ligation. Asherman’s syndrome could result in successful pregnancy even in severe cases of adhesion. However, the pregnancy preceded by intrauterine adhesion may get complicated by abnormal placental implantation.

Correlation of Body Mass Index with Regular Menstrual Cycle of Young Women

Haniarti .; Ayu Dwi Putri Rusman; Jumarna .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 168-172

This study aims to analyze the correlation of body mass index with the regularity of the menstrual cycle of young women in The City of Parepare. A total of 60 young women age 17 to 19 years participated in this study. The body mass index and regularity of the subject's menstrual cycle were evaluated. In body mass index distribution, young women with normal nutritional status were more likely (48.3%), compared with thin nutritional status (33.3%) and nutritional status (18.3%). Regular menstrual cycle more normal young women (56.7%) compared to abnormal (43.3%). The results of this study indicate that there is a relationship between body mass and regularity of the menstrual cycle in young women.