Clinical Characteristics and Risk Factors Analysis for Severity of Morbidly Adherent Placenta at Persahabatan General Hospital in 2015-2018

  • Yuri Feharsal Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
  • Yuyun Lisnawati Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
  • Sri Pudyastuti Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
  • Oni Khonsa Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
  • Tri Apriliawan Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
  • Botefilia Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
  • Nadia Nurfauziah Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
  • Kindy Agustin Department of Obstetrics and Gynecology University of Indonesia, Persahabatan General Hospital Jakarta, Indonesia
Keywords: Adherent placenta, accreta, increta, percreta

Abstract

Background: Morbidly adherent placenta is a condition which placenta adheres and invades deeply into the myometrium and, in some cases, until uterine serosa, thus contribute to peri-partum hemorrhage and significant maternal mortality.
Purpose: To identify prevalence, clinical characteristics and their odds ratio to increasing se-verity of morbidly adherent placenta case in RSUP Persahabatan from 2015 to 2018
Methods: Cohort retrospective study
Results: From 2015 to 2018, prevalence of morbidly adherent placenta was around 0.8%. The risk factors which contribute to increasing severity of morbidly adherent placenta were: age above 35 years (OR 1.6, 95% CI 0.41-6.24) and history of Caesarean section more than 2 times (OR 1.63, 95% CI 0.41-6.46). The presence of increasing severity of morbidly adherent placenta were related to volume of blood loss more than 1000 ml during surgery (OR 2.13, 95% CI 0.52-8.76).
Conclusion: The prevalence of morbidly adherent placenta at Persahabatan General Hospital in 2015-2018 was 0.8%. Age, history of Caesarean section more than 2 times, volume of blood loss, and duration of surgery were not statistically associated with adherent placenta case.

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Published
2020-03-19
How to Cite
Yuri Feharsal, Yuyun Lisnawati, Sri Pudyastuti, Oni Khonsa, Tri Apriliawan, Botefilia, Nadia Nurfauziah, & Kindy Agustin. (2020). Clinical Characteristics and Risk Factors Analysis for Severity of Morbidly Adherent Placenta at Persahabatan General Hospital in 2015-2018. Journal Of The Indonesian Medical Association, 69(6), 225-228. https://doi.org/10.47830/jinma-vol.69.6-2019-195