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

How to Cite?: Dr Priyanka Deswal, Dr Rekha Jakhar, Dr Ankita Chaudhary, Dr. Nishu Rani, Dr. Jyoti Thakkanavar, "Fetomaternal Outcome and Management of Placenta Accreta Spectrum at Tertiary Care Centre", Volume 12 Issue 6, June 2023, International Journal of Science and Research (IJSR), Pages: 1055-1057, https://www.ijsr.net/getabstract.php?paperid=SR23608185053, DOI: https://dx.doi.org/10.21275/SR23608185053