Evaluation of Maternal Hemorrhage in Placenta Accreta

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dc.contributor.authorTunç, Senem Yaman
dc.contributor.authorGül, Talip
dc.contributor.authorAlan, Bircan
dc.contributor.authorBaşaranoğlu, Serdar
dc.contributor.authorYalınkaya, Ahmet
dc.contributor.authorEvsen, Mehmet Sıddık
dc.contributor.authorAğaçayak, Elif
dc.date.accessioned2024-04-24T19:07:59Z
dc.date.available2024-04-24T19:07:59Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractOBJECTIVE: The aim of the present study is to provide a retrospective evaluation of placenta accretacases to identify the factors affecting the blood transfusion requirement, which stands as one of the mostimportant causes of maternal mortality and morbidity.STUDY DESIGN: A total of 110 patients who presented to the outpatient clinic of gynaecology and obstetrics of the Faculty of Medicine of Dicle University and were diagnosed with placental attachment before or during a caesarean section (C-section) between January 2006 and June 2015 were included inthis study. The patients' data were collected from the hospital's records.RESULTS: During the study period, 21674 births were realised and 110 (1/200) of these patients exhibited placenta accreta. 86 of these 110 patients (78,2%) received at least one unit of blood. The groupof patients that had received blood transfusion exhibited significantly higher values in age, parity, number of C-sections, length of stay (p = 0.003, 0.004, 0.024, 0.000, respectively). Multiple logistical regression analysis led to the identification of a significant association between the length of stay and theblood transfusion requirements (OR 95% Cl 2.005(1.213-3.314) p= 0.007).CONCLUSION: Patients of advanced age as well as grand multiparous patients and patients with a history of multiple repeat caesarean deliveries should be evaluated more carefully during pregnancy. Thesepatients should be referred to hospitals that provide multidisciplinary care and management before thedelivery or even at the early stages of pregnancy in an effort to decrease maternal mortality and morbidity rates..en_US
dc.identifier.endpage16en_US
dc.identifier.issn1300-4751
dc.identifier.issn2602-4918
dc.identifier.issue1en_US
dc.identifier.startpage10en_US
dc.identifier.trdizinid208038
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/208038
dc.identifier.urihttps://hdl.handle.net/11468/27709
dc.identifier.volume22en_US
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.relation.ispartofGORM:Gynecology Obstetrics & Reproductive Medicine
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleEvaluation of Maternal Hemorrhage in Placenta Accretaen_US
dc.titleEvaluation of Maternal Hemorrhage in Placenta Accreta
dc.typeArticleen_US

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