الفهرس 
Definition, Epidemiology and Risk Factors of Morbidly Adherent PlacentaOnly 14 pages are availabe for public view
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Abstract
Background: Morbidly adherent placenta is defined as an abnormal adherence of all or part of the placenta to the underlying uterine wall.
Objective: The aim of this study is to evaluate the management of morbidly adherent placenta in Ain Shams Maternity Hospital during the 5-year period from January 2012 to December 2016.
Study Design: A Retrospective Study
Study Setting: Ain Shams University Maternity Hospital.
Subjects and Methods: Records of hospital admissions during the planned time frame with the diagnosis of antepartum haemorrhage or placenta accreta/increta/percreta were reviewed.
Results: Ain Shams University Maternity hospital (ASUMH) is a major tertiary referral hospital in Egypt. In evaluation of the management and short term maternal and perinatal outcomes of morbidly adherent placenta offered to women at ASUMH, the hospital archives ware examined for hospital records fulfilling the criteria of the study population during the 5-year period from January 2012 to December 2016.
Conclusion: Morbidly adherent placenta is highly associated with the existence of placenta previa, especially in cases with previous cesarean section. When morbidly adherent placenta is diagnosed or suspected antenatally, the patient must be referred to a tertiary center. Generally, the recommended management is cesarean hysterectomy. However, this approach might not be considered first-line treatment for women who have a strong desire for future fertility. Therefore surgical management of Morbidly adherent placenta may be individualized.