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INTRODUCTION: Placenta accreta refers to the range of pathologic adherence of the placenta and it includes- placenta increta, percreta, and accreta. The most favoured hypothesis is a defect in the endo-myometrial interface leading to a failure of normal decidualisation in the area of the uterine scar. It is a life threatening condition with significantly high maternal morbidity and mortality. The risk factors are history of accreta in a previous pregnancy, previous caesarean delivery and other uterine surgery, repeated endometrial curettage. This risk rises as the number of prior caesarean sections increases. It is associated with substantial morbidity, with the majority of women requiring blood transfusion, unanticipated surgery, and admission to the ICU.
MATERIALS &. METHODS: Retrospective observational study conducted over a period of 2 years in IMS & SUM Hospital, Bhubaneswar.
I hereby present a case series of 9 women with morbidly adherent placenta with comparison of their risk factors, clinical outcome.