The Relationship Between The Placenta Accreta Index (PAI) Score and The Incidence of Placenta Accreta In Patients Giving Birth in The Obstetrics Department Of RSUP.Dr.M. Djamil Padang

Intan Firmana Putri(1*), Ariadi Ariadi(2)

(1) Resident of Obstetrics and Gynecology, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(2) Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(*) Corresponding Author

DOI: https://doi.org/10.25077/aoj.2.2.78-82.2018

Abstract


Objective: To determine the relationship between PAI scores and the incidence of placenta accreta in placenta previa accreta suspects who gave birth at RSUP M. Djamil Padang.

Method: This study is an analytical study using a cross-sectional study design with a sample of all patients with placenta previa totalis suspected accreta who gave birth in the obstetrics department of RSUP M. Djamil Padang during the period January 1, 2017 - April 30, 2018. The data were taken from the patient's medical records that included age, parity status, labor history, and PAI score from ultrasound examination results. The relationship between PAI scores and the incidence of placenta accreta was analyzed using an independent T-test with a significant degree of <0.05. The research results are presented in tabular form. 

Results: During the study period, 30 patients with placenta previa suspected of accreta at RSUP M. Djamil Padang. It is known that cases of placenta accreta were more common in multiparous (57.7%), suspected accreta (57.7%), had a history of SC (65.2%), and the mean age of patients with accreta was 34.7 ± 3.5 years. Furthermore, it can be concluded that the mean PAI score in patients with placenta accreta is higher than non-accreta, and there is a significant relationship between PAI scores and cases of placenta accreta (p> 0.05).

Conclusion: The mean PAI score in patients with placenta accreta is higher than without accreta and there is a significant relationship between PAI scores and cases of placenta accreta.

Keywords: Placenta Accreta, PAI Score

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References


Cahlil A, Richard B, Phillips H, Robert M, Silver, Joseph R. Placenta Accreta Spectrum. Am J Obstet Gynecol.2018;259-275

Kansouh AM, Eldin EM. Maternal outcomes after different surgical techniques in placenta accreta: a prospective study. J Med Sci Res 2018;1:306-11

Rac MWF, Dashe JS, Wells CE, et al. Ultrasound predictors of placental invasion: the Placenta Accreta Index. Am J Obstet Gynecol 2014;211:e1-e7

Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA, et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 2006;107(6):1226-32

Fitzpatrick KE, Sellers S, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. Incidence and risk factors for placenta accreta/increta/percreta in the UK: A national case control study. Plos One. 2012;7(12):1-6

Samosir SM, Irianti S, Tjahyadi D. Diagnostic test of placenta accreta index score (PAIS) as supporting prenatal

diagnosis and outcomes of maternal neonatal in abnormally invasive placenta management at general hospital of Hasan Sadikin Bandung. Int J Reprod Contracept Obstet Gynecol. 2017;6(9):3765-9

Nelson T, Chang E, Goodier C, Nino JM. Validation of the placenta accreta index (PAI): Improving the antenatal diagnosis of the morbidly adherent placenta. AJOG. 2017;216(1):s133-s134

Comstock CH, Love JJ Jr, Bronsteen RA, Lee W, Vettraino IM, Huang RR, et al. Sonographic detection of placenta accreta in the second and third trimesters of pregnancy. Am J Obstet Gynecol. 2004;190(4):1135-40

Eshkoli T, Weintraub AY, Sergienko R, Sheiner E. Placenta accreta: risk factors, perinatal outcomes, and consequences for subsequent births. Am J Obstet Gynecol. 2013;208(3):219.e1-7


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Address for Correspondence:

Editorial Room Andalas Obstetrics and Gynecology Journal 3rd floor of KSM Obstetrics and Gynecology
RSUP Dr. M. Djamil Padang, Jl. Perintis Kemerdekaan Padang, Sumatara Barat, 25127