Resultados maternos e perinatais em gestações com placenta prévia com e sem acretismo em maternidade terciária

Abstract

Objective : To evaluate maternal and perinatal outcomes in cases of placenta previa with and without accreta at Maternity School Assis Chateaubriand - UFC. Methods : Cross - sectional study, quantitative, restrospective of 19 patients with placenta previa, in 2014. In the bivariate analysis, we used Fisher's exact and the t - s tudent tests for categorical and continuous variables, respectively. It was considered a signif icance level of p <0.05. Results : The prevalence of placenta previa and accreta were 0.46% and 0.1%, respectively. In the group of patients with accreta, the mean maternal age and parity were higher (29.5 x 26 years, 2x 1 respectively); had at least one p revious cesarean section (p = 0.031); there was a greater need for blood transfusions (50% x 6.7%), of hospitalizations in maternal ICU (25% vs. 0), bladder injury (25% vs. 0) and greater need for hysterectomy ( p = 0.023). Conclusions : Placenta previa is a ssociated with increased maternal and perinatal morbidity. Previous cesarean section increased the chance of accreta, as well as the need for hysterectomy.