Fetomaternal Outcome in Placenta Accreta Spectrum in a Tertiary Care Teaching Hospital

Abstract

Objective: To determine the fetomaternal outcomes in PAS-Placenta Accreta Spectrum.

Methods: This was an observational descriptive study conducted at Gynae unit 2, of FJMU/, Sir Ganga Ram

hospital Lahore. Fifty patients of placenta accreta spectrum were included over one year study period. All

booked and un-booked patients who had history of antepartum haemorrhage with or without per vaginal

bleeding who were diagnosed of having PAS were included in study.

Results: Fifty cases of placenta accreta spectrum (PAS) were studied over one year period. 35 (70%) patients

with placenta Accreta Spectrum (PAS) were un-booked. 15 (30%) were booked. In 25 (50%) of patients age

group ranged between twenty six to thirty years while the gestational age ranged between 32-36 weeks. In 35

(70%) of patients having type four major degree placenta previa while type three major degree Placenta

previa was noted 10 (20%) of the cases .Regarding number of caesarean sections forty five (90%) had more

than one caesarean section while only five (10%) had previous one caesarean section.

Conclusion: Placenta Accreta spectrum (PAS) is associated with life threatening haemorrhage along with

associated high feto-maternal mortality and morbidity. Early diagnosis by Doppler ultrasound and multidisciplinary

is necessary to improve feto maternal outcome.