Changing trends of placenta accreta spectrum

Abstract

Introduction: Placenta accreta spectrum (PAS) disorders, encompassing placenta accreta, increta, and percreta, are increasingly prevalent and closely linked to rising cesarean section rates Objective of study: is to , evaluates PAS cases, risk factors, intraoperative findings, complications, and maternofetal outcomes. Materials and Methods: This retrospective study, conducted at MGM Hospital Aurangabad from January 2020 to April 2024 included patients diagnosed with PAS, focusing on demographic data, clinical presentation, and surgical outcomes Results: Major risk factors identified include previous cesarean deliveries and placenta previa. Antenatal diagnosis via ultrasound and MRI facilitated surgical planning, significantly reducing intraoperative blood loss and complications. Despite this, PAS cases remain high-risk, with substantial maternal morbidity, including hemorrhage, and complications such as bladder injury. Neonatal outcomes varied, with preterm births common and NICU stays necessary in several cases.  Conclusion: The study emphasizes the importance of multidisciplinary care, antenatal diagnosis, and preparedness in managing PAS. Effective management requires vigilant prenatal screening in high-risk pregnancies and comprehensive planning to mitigate associated risks. This research underscores the need for improved clinical protocols and resource allocation to enhance outcomes for women with PAS.

Keywords: PAS( Placenta Accreta Spectrum)