Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Placenta accreta spectrum (PAS) disorder presents significant challenges in obstetric care, associated with severe maternal and perinatal morbidity and mortality. Understanding the risk factors and outcomes related to PAS is crucial for improving clinical management and patient prognosis. This prospective case series analyzed the medical records of fifteen women diagnosed with PAS at a tertiary care center. We examined various risk factors including maternal age, parity, gravidity, history of abortion, previous cesarean sections (LSCS) and placenta previa. The study also assessed pregnancy outcomes, such as the need for hysterectomy, blood transfusions, ICU admissions and perinatal morbidity and mortality. Significant risk factors identified included a history of previous LSCS (80%), placenta previa (100%) and a history of abortion (70%). Major complications involved high rates of hysterectomy (60%) and blood transfusion (90%). Perinatal outcomes revealed high incidences of NICU admission (70%) and preterm births, particularly moderate to late preterm (50%). The findings highlight the significant association of traditional surgical histories like LSCS and placenta previa with PAS, underscoring the need for heightened surveillance and preparatory measures in at‐risk pregnancies. The severe complications and challenging perinatal outcomes call for a multidisciplinary approach to improve the management and prognosis of PAS cases. Future studies should aim to include larger, diverse populations to confirm these findings and improve the predictive accuracy of PAS risk factors.
How to cite this article:
Sakshi Gupta and Neelima Shah. Risk Factors and Pregnancy Outcomes in Patients with Placenta Accreta Spectrum Disorder: A Case‐Series.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.557.561
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.557.561