Faktor Risiko dan Luaran Maternal Plasenta Akreta di RSUP Dr. M. Djamil Padang

Objective: This study aims to determine the frequency of occurrence, association of risk factors, and maternal outcomes with placenta accreta. Method: This is an observational analytic with a cross-sectional design. This study was conducted in the medical record Dr. M. Djamil Padang General Hospital from January 2016 until December 2017 with total samples of the study were eighty four people and divided into 2 groups, suspected placenta accreta group and control group. Result: The result showed 64 people (4.3%) were diagnosed with suspect placenta accreta. There were significant association between age, parity, prior cesarean section, and placenta previa (p<0.05) with placenta accreta. The dominant factor in placenta accreta is ≥ 2 prior cesarean section (OR 6,038, 95% CI 2,145-16,995). There were significant association between length of stay more than 7 days, need blood transfusion, and hysterectomy (p<0,05) with placenta accreta. Conclusion: Prior cesarean section, placenta previa, maternal age, and parity are risk factors for placenta accreta with maternal morbidity such as length of hospital stay more than 7 days, requires blood transfusion, and hysterectomy.