A RETROSPECTIVE STUDY OF OUR NINE YEARS OF EXPERIENCE WITH ABNORMAL PLACENTATION — RISK FACTORS AND PREGNANCY OUTCOMES

Purpose: Placenta previa and morbidly adherent placenta are life-threatening conditions that necessitate close monitoring during pregnancy can result in increased ante- intrapartum complications. This study aims to evaluate the frequency of placental disorders our population, reveal impact known risk factors on maternal morbidity, new predisposing their effects outcomes. Materials Methods: We performed a single-centered retrospective which we analyzed 330 women diagnosed with abnormal placentation—placenta accreta spectrum (PAS). included all gave birth at Nadezhda Hospital, from March 2013 August 2021. processed data using chi-square test, Cramer's V cross-section analysis. Results: The population is higher than worldwide reported data. were unable demonstrate connection between previous uterine manipulations (c-section, D&C, operative hysteroscopy, etc.) occurrence higher-grade population. However, more surgeries performed, complications delivery occur (antepartum bleeding, blood loss, surgical management postpartum hemorrhage, peripartum hysterectomy). Pregnancies following assisted reproductive techniques (ART) three-times previa. Endometriosis determines greater developing an abnormally placenta. Conclusion: More prospective studies need be define exact for placentation affect Bulgarian A better understanding condition will lead higher-risk pregnancies, thus reducing fetal morbidity.