Placenta accreta spectrum: Management and outcomes in a tertiary centre in India: An observational cross-sectional study.
Karthik C BassettyReeta VijayaselviBijesh YadavLiji S DavidManisha Madhai BeckPublished in: Tropical doctor (2021)
Our observational cross-sectional study looked at the risk factors, diagnosis, management and outcomes of placenta accrete spectrum at the Christian Medical College and Hospital, Vellore, India, between January 2013 and December 2018. A total of 21 cases of placenta accrete spectrum are described among whom a preop diagnosis was available in 14 cases. A previous history of Caesarean section and placenta previa was present in 90%. Caesarean hysterectomy was carried out in 80%, but none of those managed conservatively required interval hysterectomy. Urinary tract injury was the most common surgical complication, seen in over 50%. The mean blood loss was 3.5 l and 14 patients required intensive care unit admission, but no maternal mortality ensued. Thus, we conclude that the conservative management in carefully selected cases is feasible.
Keyphrases
- intensive care unit
- risk factors
- healthcare
- end stage renal disease
- urinary tract
- emergency department
- newly diagnosed
- chronic kidney disease
- cross sectional
- metabolic syndrome
- cardiovascular disease
- peritoneal dialysis
- skeletal muscle
- pregnant women
- mechanical ventilation
- preterm birth
- adipose tissue
- insulin resistance
- patient reported