Assessment of Maternal and Fetal Outcome in Patients with Placenta Accreta Spectrum Disorders

Abstract Introduction: Placenta accreta is a clinical condition when part of the placenta or the entire placenta, invades and is inseparable from the uterine wall and accounts for a large percentage of maternal morbidity and mortality due to haemorrhage as a major complication. There is strong association between placenta previa, placenta accreta and prior caesarean section. Aims & Objectives: To assess intraoperative procedure, management, post-operative complications among patients of placenta accreta spectrum disorders. Material & Methods: It is a hospital based cross sectional study conducted prospectively in the Department of Obstetrics and Gynaecology, Gandhi Medical College, Bhopal for 18 months in all patients with Placenta Accreta Spectrum disorders. Result: On comparing intraoperative findings, cases with placenta accreta had more operative time, blood loss, requirement of hysterectomy. Maternal drop in haemoglobin after surgery, postoperative hospital stay, ICU admission and blood requirement were more. Fetal and neonatal outcomes were not significantly affected by placenta accreta. Conclusion: On comparing the feto-maternal outcomes in patients with the placenta accreta, we conclude that this condition adversely affect and associated with maternal morbidity and mortality while fetal outcomes are not affected by this condition directly.