A comparison of antenatally and intraoperatively diagnosed cases of placenta accreta spectrum

Abstract

Objective: To assess the effect of antenatal diagnosis of placenta accreta spectrum (PAS) on fetomaternal outcomes.Material and Methods: This was a retrospective cohort study conducted from January 2017 to December 2018. Women with PAS diagnosedantenatally were designated as group A and those where diagnosis was suspected during operation and confirmed on histopathology (PASdiagnosed perioperatively) were designated as group B. Outcome in terms of uterine conservation, maternal death, admission of mother tointensive care unit (ICU), perinatal death and neonatal ICU (NICU) admission were recorded.Results: During the study, PAS was confirmed in 96 cases which were included. Out of these, 34 (35.4%) cases were included in group A while62 (64.6%) were diagnosed intraoperatively (group B). The median number of units of blood transfused was lower in group A compared to groupB (4 vs 6, p