Background: Placenta accreta is one of fatal obstetrics crisis that have a negative
effect on maternal and neonatal outcomes. Aim: The present study aimed to Study the
effect of applying prenatal care protocol for pregnant women with placenta accrete
on maternal and neonatal outcomes. Design: A quasi-experimental equivalent study
(pre and posttests, non-randomized study) was utilized to fulfill the aim of study.
Setting: The study was conducted at Obstetrics and Gynecological outpatient clinic,
Obstetrics and Gynecological department and operating room of Obstetrics and
Gynecology at Benha university hospital. Sample: A Purposive sample was selected
according to inclusion criteria. The sample consisted of 52 women as 3 women
diagnosed as placenta previa without accreta at 24 weeks of gestational age . Tools:
Data collected through three main tools: I A structured interviewing questionnaire, II
Maternal and neonatal outcomes sheet, III Women follow up sheet. Results: There
were a highly statistical significant differences between study and control groups
regarding attempted placental removal at third stage of labor, hysterectomy,
intrapartum blood loss , neonates Apgar score at 1st minute and Apgar score at 5th
minute(P< 0.001). Conclusion: Application of prenatal care protocol has positive
effect in improving maternal and neonatal outcomes in pregnant women with placenta
accreta. Recommendation: Replication of prenatal care protocol on wide range of
women diagnosed with placenta accreta.
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