Placenta Accreta Spectrum: A Diverse Clinical Experience

Abstract

Placenta Accreta Spectrum is a well-established life threatening complication during pregnancy. It is commonly seen due to an iatrogenic etiopathogenesis resulting from a previous surgery of the uterus. The presentation of these cases has been intriguing. A holistic approach by the obstetrician and radiologist is important in identifying such cases early to reduce the morbidity and mortality.This series highlights the experience of the cases of MAP that we managed at our institution. Aim and objectives: to study the diverse clinical course of placenta accrete spectrum which will help in early diagnosis using various diagnostic modalities and deciding the management of adherent placenta. This series highlights the challenges faced in the diagnosis, evaluation and management antepartum, intrapartum period as well as postpartum period. Materials and methods: A Hospital based observational case series conducted in the Department of Obstetrics and Gynecology of Bharati Hospital, Puneof patients who had morbidly adherent placenta Result: Previous LSCS and curettage were associated with higher incidence of adherent placenta. all the cases were associated with prematurity. Conclusion: Placenta accreta spectrum is associated with high feto-maternal morbidity and mortality which is preventable.. Incidence of MAP is increasing, previous caesarean section and placenta previa are important risk factors, so there is a need to keep the primary caesarean section rates low. Early preoperative diagnosis in the suspected women and careful planning of delivery involving multidisciplinary team is the key to save the woman’s life. Key words: Morbidly Adherent Placenta; Placenta Accreta Spectrum; Prematurity.