A retrospective study of 12-year cohort of 216 parturients with invasive placentation in a tertiary care center in Oman: clinical outcomes indicate severe maternal morbidity

J Obstet Gynaecol Can. 2024 Jan 2:102341. doi: 10.1016/j.jogc.2023.102341. Online ahead of print.ABSTRACTPlacenta accreta spectrum (PAS) composed of placenta accreta, increta and percreta, is one of the leading causes of peripartum haemorrhage and accounts for up to 50% of all caesarean hysterectomies (CH). We analysed the data of 216 parturients with PAS who underwent caesarean delivery (CD) and/or CH. Intraoperative surgical complications were noted in 215 (99.5%). The mean estimated blood loss was 2743 (1790) ml, and 105 (48.6%) parturients lost ≥2500 ml. They experienced high rates of severe acute maternal morbidity [162 (75%)], hysterectomy 82 (38%), large volume blood loss, blood transfusion, peripartum anaemia and prolonged hospital stay.PMID:38176678 | DOI:10.1016/j.jogc.2023.102341

Source: Journal of Obstetrics and Gynaecology Canada : JOGC - January 4, 2024 Category: OBGYN Authors: Harihar V Hegde Bandi Joshiraj Manisha Paul Anjalika S Weerasinghe Krishnendra Gurunath Mulgund Sriramamoorthy Ramu Marimuthu Arun G Pai Ramlaa Malallah Abdullah Source Type: research