PREVALENCE AND TYPES OF ABNORMALLY ADHERENT PLACENTA IN WOMEN WITH CS

Background: A variety of complications has become a direct result of increasing the rate of cesarean section which includes postpartum haemorrhage, sepsis, visceral injury, postoperative ileus, placenta previa and morbidly adherent placenta; Aim and objectives: The aim of the research was to detect the prevalence of morbidly adherent placenta among women with variety of numbers of previous cesarean sections. Subjects and methods: This was a prospective cross-sectional research that took place in an inpatient, outpatient and emergency of Sayed Galal maternity hospital Fuculty of Medicine Al-Azher University. Result: there is high significant relation between number of previous cesarean section (P.C.S) and the incidence of placenta accreta in all studied cases (P-value < 0.0001). Conclusion: Overmedicalization of the birth process in Egypt, as seen by the overuse of cesarean section, is a serious public health problem that requires prompt attention because to the excessive pressure CS causes on the health system. Evidence-based interventions addressing these variables, including disseminating delivery procedures and practice guidance, training providers in VBAC, and improving hospitals' monitoring and supervision systems, are essential to minimize this potentially avoidable surgical operation that poses different risks to mothers and babies.