Prevalencia de acretismo placentario en el Hospital Teodoro Maldonado Carbo durante el periodo 2019-2021.

Abstract

Introduction: Placental accretion corresponds to a pathology of great obstetric relevance given its high prevalence rate in recent years. It can present significant risks to the mother during pregnancy, childbirth, and the postpartum period, requiring specialized medical attention and careful planning to minimize future complications. Objective: To estimate the prevalence of placental accretion in patients treated in the maternal and child health area of the Teodoro Maldonado Carbo Hospital during the period 2019-2021. Materials and Methods: This is an observational, retrospective, cross-sectional, and descriptive study. We worked with a sample of 370 patients treated at the Teodoro Maldonado Carbo Hospital from 2019 to 2021. Results: A sample of 370 patients was taken, of which 10% presented placental accretion from 2019 to 2021. Age was an important variable, with those over 35 years predominating. Similarly, risk factors such as the number of previous cesarean sections and the presence of placenta previa contributed to the presentation of this type of placental abnormality. Therefore, histopathological study was conducted in 47.37% of cases, demonstrating the presence of the accreta subtype in 91% of the sample. Finally, hysterectomy along with cesarean section was performed in 79% of the treated patients, of which 81.6% received transfusions. Conclusions: The estimated prevalence of placental accretion was 10%, considered a relevant value and a frequent pathology.