Prevalensi dan Luaran Pasien dengan Spekrtum Plasenta Akreta

Adiguna Gurnita, Setyorini Irianti


Abstract


Tujuan: Plasenta akreta mengakibatkan risiko perdarahan ibu dan morbiditas anak akibat prematuritas. Prevalensi dan luaran pasien dengan spekrum plasenta akreta di Indonesia masih rendah. Penelitian ini bertujuan mencari tingkat prevalensi serta  membandingkan luaran pada ibu dengan plasenta akreta.
Metode: Desain penelitian merupakan penelitian deskriptif observasional yang diperoleh dari rekam medis tahun 2015–2019 di RSUP Dr. Hasan Sadikin Bandung periode Februari-April 2020.
Hasil: Pada 39 pasien dengan plasenta akreta didapatkan wanita berusia >35 tahun sebanyak 22 orang (56,4%). Kondisi yang banyak ditemui pada pasien plasenta akreta meliputi multipara sebanyak 26 orang (66,7%) dan riwayat seksio sesarea >1x sebanyak 20 orang (51.3%). Sebanyak 30 pasien (76,9%) membutuhkan 3 unit 200 mL Packed Red Cell (PRC). Sebanyak 31 bayi (83,7%) yang lahir dari ibu dengan plasenta akreta lahir kurang bulan atau prematur dan 26 bayi (70,2%) mengalami berat badan lahir rendah (BBLR), serta dari 17 bayi prematur, 8 (52,9%) bayi mengalami stunting.
Kesimpulan: Pasien dengan plasenta akreta di RSUP Dr. Hasan Sadikin Bandung mayoritas berusia tua, merupakan multipara dan memiliki riwayat seksio sesarea >1x. Pasien dengan plasenta akreta cenderung mengalami pendarahan yang banyak serta terdapat banyak bayi BBLR dan stunting.

Prevalence and Outcome of Placenta Spectrum Accreta

Abstract
Objective: Placenta accreta carries a risk of maternal bleeding and child morbidity due to prematurity. The prevalence and outcomes of patients with spectrum placenta accreta in Indonesia are still limited. This study aims to evaluate the prevalence and outcomes in mothers with placenta accreta.
Method: This is an observational descriptive study obtained from medical records for 2015–2019 at Dr. Hasan Sadikin Bandung from February–April 2020.
Results: In 39 patients with placenta accreta, there were 22 women aged >35 years (56.4%). Conditions that were often found in patients with placenta accreta included multiparas in 26 people (66.7%) and history of cesarean section > 1x in 20 people (51.3%). A total of 30 patients (76.9%) required 3 units of 200 mL Packed Red Cell (PRC). A total of 31 babies (83.7%) born to mothers with placenta accreta were born preterm or premature and 26 babies (70.2%) had low birth weight (LBW), and of 17 premature babies, 8 (52.9%) babies are stunted.
Conclusion: Patients with placenta accreta at Dr. Hasan Sadikin Bandung are mostly old, multiparous, and have history of more than 1 cesarean section. Patients with placenta accreta tend to experience heavy bleeding and there are many LBW and stunted babies.

Key words: placenta accreta, placenta accreta spectrum, LBW, stunting


Keywords


plasenta akreta, Plasenta Akreta Spektrum, BBLR, Stunting

Full Text:

PDF

References


Kilicci C, Eken M, Ilhan G, Çöğendez E, Şanverdi İ, Keskin M, et al. Evaluation of Risk Factors, Incidence, Perinatal and Maternal Outcome of Placenta Previa Cases with and without Placenta Accreta Spectrum. Duzce Med J. 2018 Jul 24;19:75–80.

Bowman ZS, Eller AG, Bardsley TR, Greene T, Varner MW, Silver RM. Risk factors for placenta accreta: A large prospective cohort. Am J Perinatol. 2014;31(9):799–804.

Hung TH, Hsieh TT an. Pregestational body mass index, gestational weight gain, and risks for adverse pregnancy outcomes among Taiwanese women: A retrospective cohort study. Taiwan J Obstet Gynecol [Internet]. 2016;55(4):575–81. Available from: http://dx.doi.org/10.1016/j.tjog.2016.06.016

Shanthi C, Chitra KS. Placenta Accreta and its Management and Outcomes in Tertiary Centre: Low Resource Settings. Indian J Obstet Gynecol. 2019;7(1):27–30.

Silver RM. Abnormal Placentation: Placenta Previa, Vasa Previa, and Placenta Accreta. Obstet Gynecol. 2015 Sep;126(3):654–68.

Kassem GA, Alzahrani AK. Maternal and neonatal outcomes of placenta previa and placenta accreta: three years of experience with a two-consultant approach. Int J Womens Health. 2013;5:803–10.

Zhang H, Dou R, Yang H, Zhao X, Chen D, Ding Y, et al. Maternal and neonatal outcomes of placenta increta and percreta from a multicenter study in China. J Matern Neonatal Med [Internet]. 2019;32(16):2622–7. Available from: https://doi.org/10.1080/14767058.2018.1442429

Wright JD, Pri-Paz S, Herzog TJ, Shah M, Bonanno C, Lewin SN, Simpson LL, Gaddipati S, Sun X, D'Alton ME, Devine P. Predictors of massive blood loss in women with placenta accreta. American journal of obstetrics and gynecology. 2011 Jul 1;205(1):38-e1.

Cahill AG, Beigi R, Heine RP, Silver RM, Wax JR, American College of Obstetricians and Gynecologists. Placenta accreta spectrum. American journal of obstetrics and gynecology. 2018 Dec 1;219(6):B2-16.

Prawirohartono E, Nurdiati D, Hakimi M. Prognostic factors at birth for stunting at 24 months of age in rural Indonesia. Paediatrica Indonesiana. 2016 May 12;56(1):48-56.




DOI: http://dx.doi.org/10.24198/obgynia/v6.n2.293

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


     
     

Creative Commons License
Indonesian Journal of Obstetrics & Gynecology Science is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License
  Web Analytics
  View My Stat