Intervención de enfermería en pacientes con placenta acreta

Abstract

Introduction: Placenta accreta, is the abnorml insertion of part or all of the placenta with total or partial absence of the basal decidua, abnormal penetration of the chorionic villi to the myometrium. Methodology: Bibliographic research, narrative type; it was carried out by reviewing scientific articles in databases such as Scopus, Taylor & Francis, Pubmed, Redalyc, Science Direct, Springer Open, Medigraphic, and Scielo, using health-related descriptors such as Decs, with keywords such as: ''cesarean section'', ''complications'', ''associated factors'', ''hysterectomy'' and ''placenta accreta''. Results and discussion: The search for information yielded a total of 612 bibliographic sources, with the application of selection criteria, 72 sources remained and after the final review, 56 documents respond directly to the research questions. The prevalence of placenta accreta worldwide ranges from 1 per 333 to 533 births, with a mortality rate of 22% in developed countries and 7% in underdeveloped countries, this pathology is currently responsible for 64% of hysterectomies. Conclusion: Currently, the risk of presenting placenta accreta has increased more and more, due to the increase in the number of cesarean sections worldwide. The nursing professional performs a thorough cephalocaudal assessment to develop care plans, execute them properly and thus reduce the maternal morbidity and mortality rate.