Placenta accreta spectrum: Management and outcomes in a tertiary centre in India: An observational cross-sectional study. (July 2021)

• Record Type: Journal Article
• Authors: Bassetty, Karthik C; Vijayaselvi, Reeta; Yadav, Bijesh; David, Liji S; Beck, Manisha M
• Is Part Of: Tropical doctor. Volume 51:Number 3(2021)
• Page Start: 398
• Page End: 403
• Publication Date: 2021-07
• Subjects: Placenta accrete spectrum -- massive obstetric haemorrhage -- caesarean hysterectomy -- uterine artery embolisation -- morbidly adherent placenta; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/00494755211013642
• Languages: English
• ISSNs: 0049-4755

Abstract

Our observational cross-sectional study looked at the risk factors, diagnosis, management and outcomes of placenta accrete spectrum at the Christian Medical College and Hospital, Vellore, India, between January 2013 and December 2018. A total of 21 cases of placenta accrete spectrum are described among whom a preop diagnosis was available in 14 cases. A previous history of Caesarean section and placenta previa was present in 90%. Caesarean hysterectomy was carried out in 80%, but none of those managed conservatively required interval hysterectomy. Urinary tract injury was the most common surgical complication, seen in over 50%. The mean blood loss was 3.5 l and 14 patients required intensive care unit admission, but no maternal mortality ensued. Thus, we conclude that the conservative management in carefully selected cases is feasible.