Resumen

DUARTE S, Pablo C  y  ZIGHELBOIM, Itic. Placenta ácreta: Diez años de experiencia en la Maternidad "Concepción Palacios". Rev Obstet Ginecol Venez [online]. 2008, vol.68, n.3, pp.160-167. ISSN 0048-7732.

Objective: To study the frequency of placenta accreta in pregnant patients in labor in the period 1994-2004 in a single university teaching Maternity Hospital. Method: All pathology reports of obstetric hysterectomies were analized as well as the clinical charts of pregnant patients with diagnosis of placenta acreta percreta, and increta. Setting: "The Concepcion Palacios" Maternity in Caracas-Venezuela. Results: We identified 30 cases (85.71 %) of placenta accreta, and 5 patients (14.9 %) with placenta percreta, that represents 0.014 % of obstetrical in patients and 0.62 % of the live newborns. The highest frequency of patients were between 31 to 40 years of age, and those who had 3-4 previous deliveries, with no relationship to previous cesarean sections. A 57.14 % of these women had no prenatal care. At time of delivery 54.29 % had between 21-36 weeks of gestation and 78.57 % were admitted in labor. In 71.43 % cesarean hysterectomy was performed after birth. Fetal weight and length was ≥ 2 501 g and 43-47 cm in the majority of newborns. Conclusions: This study represents a contribution to the study of these rare complication of pregnancy and the authors recommend the use of the present available technology for the diagnosis of this entity during pregnancy in order to reduce maternal morbidity and mortality.

Palabras clave : Placenta accreta; Placenta percreta.