Abstract:

The purpose is to identify risk factors in cases with and without invasive anomalies, the comparison of management forms, maternal and newborn results. Tools and Methods: 34199 patients who were born in our hospital between 2014 and 2019 were scanned retrospectively. All cases of placenta previa with and without invasive anomalies have been. Results: In 15 of 34199 patients with invasive anomalies (0.04%) and in 85 with non-invasive anomalies (0.24) a total of 100 cases of placenta previa (0.29) were identified. There was no difference between the two groups in terms of mother's average age, passed abortion, abortion history, IVF pregnancy, GDM, IUGR and HT-related diseases. The number of pregnancy and parite was significantly greater in the group of invasions (p=0,005, p=0,01 and p<0,0001 respectively). In case management, there was no difference between the two groups in terms of the arterial ligation of the uterus, the compression slurry and the application of the bakery balloon, but it was significantly greater in the group with hysterectomy and hypogastric arterial ligation invasion (secondly p<0,0001, p<0,0001). The duration of stay in the postoperative hospital, the amount of decrease in hemogram and hematocrit levels was significantly greater in the group with the need for blood transfusion in the invasion (respectively p=0,001, p=0,007, p=0,007, p<0,0001). There is no significant difference between the two groups in terms of week of birth, weight, gender, 5-minute apgar score and intensive care requirement. The minute apgar score was significantly lower in the group of invasions (p=0,021). The result: the high, excessive number of passed caesarine of gravide and parite significantly increases the risk of an invasive abnormality in the plasma. The increase in the number of seats to reduce maternal and perinatal morbidities associated with plasenta invasion anomalies should be prevented and the birth of these cases should be carried out in a multidisciplinary center where an experienced team is involved.

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