Abstract

Increasing incidence of Placenta accrete syndrome has become a worrisome issue due to its associated life-threatening complications for both the mother and the fetus. The ideal management for PAS disorder remains the matter of debate still. The critical step in its effective management being its suspicion knowing the underlying risk factors and its diagnosis in antenatal period. Still, cesarean hysterectomy remains the gold standard procedure with many newer conservative approaches under evaluation. Our basic aim behind writing this review is to highlight the recent changes in classifying and diagnosing PAS owing to the ever-increasing incidence of this catastrophic entity. Also, it will emphasize the well-established role of radical over conservative management and also all modalities used in conservative management so far.

Highlights

  • Placenta accreta syndrome previously known as morbidly adherent placenta is a significantly grave obstetrical condition

  • It is prudent that having knowledge of risk factors, a high clinical suspicion is made, so that antenatal radiological diagnosis is made and patient managed in equipped facility

  • The standard treatment in majority of the cases of PAS is peripartum hysterectomy including our hospital, the exclusion being a case of focal accreta

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Summary

Introduction

Placenta accreta syndrome previously known as morbidly adherent placenta is a significantly grave obstetrical condition. [3] The root cause of this rising incidence being increase in cesarean section rate. The standard treatment in majority of the cases of PAS is peripartum hysterectomy including our hospital, the exclusion being a case of focal accreta.

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