Özet:

Objective: Placenta previa is the situation where the placenta settles in the lower uterine segment and partially or completely covers the internal os. Better fetomaternal results are obtained in patients with suspected placenta previa and plasenta accreta spectrum (PAS) undergoing planned cesarean section. In our study, we aimed to compare the fetomaternal outcomes of patient groups who underwent emergency and elective cesarean section. Study Design: Our study included 236 patients who underwent cesarean section with the diagnosis of placenta previa and PAS in our hospital between January 2011 and December 2015. Demographic data of patients, gynecological and obstetric histories, laboratory parameters, amount of blood product transfusion, method of taking the case (emergency/elective), developing intraoperative and postoperative complications, additional surgical methods used, presence of hysterectomy, gestational week and weight, newborn APGAR score the data on the need for intensive care, length of hospital stay and complications were obtained. The patients were divided into two groups as emergency and elective, and fetomaternal data were compared. Results: When the patients were compared according to the way they were recruited, no difference was found between intraoperative complications, peripartum hysterectomy, use of additional surgical methods, invasion anomaly, and postoperative 6th hour hemoglobin values. However, while the postoperative hospital stay and the need for transfusion were higher in the emergency group, 2. hour hemoglobin (Hgb) level was found to be lower. While the birth weight and APGAR score were lower in the newborns in the emergency group, the need for intensive care, length of hospital stay and complication rates were found to be higher. Conclusion: Patients should be referred to tertiary centers where a multidisciplinary approach can be offered and blood bank units, adult intensive care units and neonatal intensive care units are sufficient.

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