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- Title
Incidencia del espectro de acretismo placentario en la unidad de cuidados intensivos obstétricos del Hospital de la Mujer de Sinaloa.
- Authors
Airam Hernández Loc, Elvis; Javier Castro Apodaca, Francisco; Morgan Ortíz, Fred; Heusinkveld, John Michael; Magaña Ordorica, Dalia; Peña García, Gloria María; Terán Cabanillas, Eli; Canizalez Román, Adrián; Murillo Llanes, Joel; Cortez Hernández, Jesús Alberto; Lelevier De Doig Alvear, Humberto; Favela Heredia, César Enrique; Sandoval Quiñonez, Paúl Alberto; Hamid Gámez Meza, Alan; Mora Palazuelos, Carlos Ernesto; Romero Quintana, José Geovanni; González Quintero, Paúl; Esperó Cárdenas, Marco Aurelio
- Abstract
OBJECTIVE: To determine the incidence of placental accretism spectrum in pregnant women admitted to the obstetric intensive care unit of the Hospital de la Mujer, Culiacán, Sinaloa. MATERIALS AND METHODS: Retrospective, cross-sectional, descriptive study based on the analysis of the database of the Hospital de la Mujer of patients admitted between 2017 and 2020 with a diagnosis of placenta accreta spectrum, referred or diagnosed at the institution and underwent hysterectomy for the complication studied. RESULTS: Twenty-two patients with a diagnosis of placenta accreta were analysed, giving a prevalence of 0.09%; of these, caesarean section was indicated in 0.2%. 19 of the 22 patients had a history of previous uterine scarring, all with placenta praevia. Mean age was 30.86 ± 4 years. Caesarean section was performed at a mean gestational age of 34 weeks using two surgical techniques. The mean estimated blood loss was 1,947 mL. The most common operative complications were ureteral (n = 2) and bladder (n = 1) injuries. The most common postoperative complication was vesico-uterine fistula (n = 1). The mean length of stay was 2 days in 16 of the 22 patients and 7 days in the remaining 6 patients. CONCLUSIONS: The most important aspect of placenta accreta is early diagnosis, which allows referral to hospital centres with specialists experienced in the management of these cases.
- Subjects
SINALOA (Mexico : State); PLACENTA; PLACENTA praevia; CRITICAL care medicine; PREGNANT women; CESAREAN section; WOMEN'S hospitals; SURGICAL complications
- Publication
Ginecología y Obstetricia de México, 2024, Vol 92, Issue 4, p137
- ISSN
0300-9041
- Publication type
Article
- DOI
10.24245/gom.v92i4.9458