Background: The prevalence of placenta previa has been recently estimated to be approximately 0.5% of all pregnancies, and this increase correlates to the elevated cesarean section rate. Placenta previa is a major cause of maternal morbidity and mortality because of the associated massive antepartum and intrapartum hemorrhage. Placenta previa is associated with preterm delivery, with the neonatal mortality increasing threefold.
Aim of the study: The aim of this study was to determine the relationship between placenta accreta and its complications in cases of previous cesarean section with placenta previa anterior.
Patients and Methods : This study conducted in Department of obstetrics and Gynecology, Al husseiun Hosp. A total of 50 patients with the diagnosis of placenta previa in current pregnancy and having previous history of Cesarean section enrolled. Statistical analyses to determine the relationship between previous cesarean section and subsequent development of placenta previa accreta
Results: The incidence of maternal complication was higher in acreta group more than non acreqta including intensive care unit admission, while there was statistical significant difference regarding injury to the urinary bladder, bowel injury complication and intra partum hemorrhage there was no mortality in our study. Incidence of fetal complication was significantly higher in acreta.
Conclusion: The increased incidence of placenta accreta is partly correlated with the rising overall caesarean section rate, it would seem that this is not the only recent influence on its increasing frequency. Even amongst women with previous caesarean sections the incidence of placenta accreta has increased nearly three times.