• Ormias Pratama
• Sarma N Lumbanraja
• Muara P Lubis
• Elida R Sidabutar
• Mangatas Silaen

Placenta accreta is an abnormal form of placentation in which the chorion villi attaches or invades abnormally through a defect in the basal decidua causing a possible failure of placental detachment from the uterus followed by heavy post-partum hemorrhage.1 Lately, there has been an increase in the incidence of placenta accreta at Rumah Sakit Umum Pemerintah Haji Adam Malik Medan (RSUP HAM). However, up to now, there are no data on prevalence, patient characteristics, risk factors or management of placenta accreta events in the province of North Sumatra.The design of this study is a descriptive study with a case series design that is women diagnosed with placenta accreta. The research sample is a part of the population that fulfills the inclusion and exclusion criteria. The sample size in this study is 50 patients diagnosed with placenta accreta to be taken with the total sampling technique registered in the medical record of RSUP Haji Adam Malik Medan from May 2017 to June 2019. The total number of patients diagnosed with placenta accreta from May 2017 to June 2019 (2 years) was 50 patients (100%), with the most periods being June 2018-June 2019 totaling 40 patients (90%), then the period May 2017 - May 2018 numbered 10 patients (10%). The total number of patients diagnosed with placenta accreta from May 2017 to June 2019 (2 years) was 50 patients, with the most period being June 2018-June 2019 totaling 40 patients, then the period May 2017-May 2018 amounted to 10 patients. Based on age, 29 samples were aged 20-35 years, with parity, the majority were multigravida by 42 people. Based on gestational age, as many as 31 samples were between 34-37 weeks of pregnancy. For the history of antenatal care (ANC) the majority of samples did in external hospitals as many as 44 people, based on the history of C-section it appears that the majority of 31 samples lived 2 times. 43 samples never experienced abortion. 37 samples underwent Total Abdominal Hysterectomy (TAH) and 13 samples underwent conservative measures. 50 samples gave birth to live infants, while the majority of babies born weighed between 2500-4000 grams as many as 38 babies. Based on the Placenta Accreta Index (PAI) Score, it appears that 22 samples had scores >4-<6. 48 samples underwent elective surgery while only 2 samples underwent emergency surgery. Based on anatomic pathology examination, it appears that 29 samples were placenta accreta, 18 samples were placenta increta and 3 samples were placenta percreta.

Placenta accreta, analysis of the incidence, pregnancy

"ANALYSIS OF PREGNANT WOMEN WITH PLACENTA ACCRETA IN HAJI ADAM MALIK MEDAN HOSPITAL, PERIOD 2017-2019", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 3, page no.1054-1059, March-2020, Available :http://www.jetir.org/papers/JETIR2003156.pdf

"ANALYSIS OF PREGNANT WOMEN WITH PLACENTA ACCRETA IN HAJI ADAM MALIK MEDAN HOSPITAL, PERIOD 2017-2019", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 3, page no. pp1054-1059, March-2020, Available at : http://www.jetir.org/papers/JETIR2003156.pdf