Pregnant Outcomes, Pregnancy Delivery, Risk Factors and Nursing Care in Pregnant Women with Placenta Accreta Spectrum in the Delivery Room Unit, Srinagarind Hospital, Khon Kaen Province, Thailand

Authors

  • Nittaya Panphet Labor room, Obstetrics and Gynecological Nursing Department, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Laddaporn Chintong Labor room, Obstetrics and Gynecological Nursing Department, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University
  • Kiattisak Kongwattanakul Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University

Keywords:

placenta accreta spectrum, cesarean section with hysterectomy, Srinagarind Hospital

Abstract

Background and Objectives: Placenta accreta spectrum (PAS) was a high risk to pregnant woman and infant. The purposes of this research were to study pregnancy outcomes, childbirth, risk factors and nursing care in pregnant women with placenta accreta spectrum.

Results: A sample of 36 cases detected placenta accreta spectrum before birth (97.23%), detected during placental delivery (2.77%), gestational age at birth more than 34 weeks (52.80%), cesarean section and hysterectomy (91.67%), planned birth (72.24%), neonatal weight 1,001-2,500 grams (75.68%), neonatal resuscitation (68.86%), infants transferred to neonatal intensive care unit (56.76%). Risk factors include the number of pregnancies, cesarean section, curettage, miscarriage, and placental abruption. Pregnant women were cared according to the practice guidelines.

Conclusion: Pregnant women who were detected with PAS before birth underwent a cesarean section and hysterectomy. Most were premature births, neonatal resuscitation, infants transferred to neonatal intensive care unit. Risk factors include the number of pregnancies, cesarean section, curettage, miscarriage, and placental abruption. Pregnant women were cared according to the practice guidelines.

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Published

2024-06-24

How to Cite

1.
Panphet N, Chintong L, Kongwattanakul K. Pregnant Outcomes, Pregnancy Delivery, Risk Factors and Nursing Care in Pregnant Women with Placenta Accreta Spectrum in the Delivery Room Unit, Srinagarind Hospital, Khon Kaen Province, Thailand. SRIMEDJ [Internet]. 2024 Jun. 24 [cited 2024 Oct. 6];39(3):219-30. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/262769

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Section

Original Articles