Downloads: 1 | Views: 75 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 6, June 2023 | Rating: 5 / 10
Fetomaternal Outcome and Management of Placenta Accreta Spectrum at Tertiary Care Centre
Dr Priyanka Deswal | Dr Rekha Jakhar | Dr Ankita Chaudhary | Dr. Nishu Rani | Dr. Jyoti Thakkanavar
Abstract: Introduction: Placenta accreta spectrum is a condition when part of the placenta or the entire placenta, invades and is inseparable from the uterine wall. In most of the cases, PAS is associated with serious feto - maternal complications including massive blood loss, urologic and bowel injuries, ICU admissions, re - exploration, DIC, increased rate of NICU admissions, sudden IUD and overall increased maternal and fetal morbidity and mortality. Aims & Objectives: To evaluate the demographic profile, management options and feto - maternal outcome in women with Placenta accreta spectrum at a tertiary care centre. Material And Methods: This was a prospective study which included 25 pregnant females with placenta previa and prior caesarean delivery in their third trimester. Data including demographic profile, risk factors and feto - maternal outcome was collected and statistically analysed to obtain the results. Results: Out of 25 cases, 12 were found to be in PAS group and remaining 13 represented the non - PAS group. In PAS group 6 patients underwent hysterectomy, had increased intraoperative blood loss > 2 litres, prolonged hospital stay, increased need of blood transfusions, Mortality among cases of placenta accreta was found to be 8.33%. NICU admission was required in 50% cases in PAS group out of which two died in early neonatal period. Conclusion: Placenta accreta is an obstetric emergency. Prenatal diagnosis is essential in planning the multidisciplinary approach in delivery to reduce the risk of possible fetomaternal complications.
Keywords: placenta accreta spectrum, obstetrical hemorrhage, fetomaternal complication, antenatal diagnosis, placenta previa
Edition: Volume 12 Issue 6, June 2023,
Pages: 1055 - 1057