Efficacy (In Terms of Avoiding Hysterectomy) of the Triple P Procedure in Managing Morbidly Adherent Placenta

Sadaf Mumtaz; Nighat Afridi; Salma Nisar; Hira Shafqat; Waseem Yousaf; Nafeesa Hiba

doi:10.51253/pafmj.v73i6.7590

Authors

Sadaf Mumtaz Department of Obstetrics & Gynecology, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Nighat Afridi Department of Obstetrics & Gynecology, Combined Military Hospital, Hyderabad/National University of Medical Sciences (NUMS) Pakistan
Salma Nisar Department of Obstetrics & Gynecology, Combined Military Hospital, Khairan Medical College, Khairan/National University of Medical Sciences (NUMS) Pakistan
Hira Shafqat Department of Obstetrics & Gynecology, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Waseem Yousaf Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Nafeesa Hiba Department of Obstetrics & Gynecology, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.7590

Keywords:

Morbidly adherent placenta, Triple P procedure, Hysterectomy

Abstract

Objective: To determine the efficacy (in terms of avoiding hysterectomy) of the Triple P procedure in managing morbidly
adherent placenta.

Study Design: Case series.

Place and Duration of the Study: Department of Obstetrics & Gynaecology, Combined Military Hospital, Peshawar Pakistan, from Dec 2018 to Mar 2020.

Methodology: A total of 56 pregnant women of gestational age ≥32 weeks with the morbidly adherent placenta were included. Caesarean section was done in each patient by the consultant gynaecologist, and then the Triple P procedure was done. Efficacy in each patient was noted.

Results: The mean age of the study participants was 30.79±4.42 years. In our analysis, the mean parity was 3.05±0.88. The
mean number of caesarean sections was 2.00±1.11. The Triple P procedure was effective (in avoiding hysterectomy) in
managing morbidly adherent placentas in 53(94.64 %) participants.

Conclusion: This study concluded that the Triple P procedure's efficacy (in terms of avoiding hysterectomy) in managing
morbidly adherent placenta is very high.

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