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Placenta Accreta Spectrum: A 2-year Retrospective Observational Study
A Hania1, C Harnett1, J Morrison1
1Department of Anaesthesiology and Critical Care Medicine, University Hospital Galway.
Irish Medical Journal
|October 27, 2022
Summary
Management of placenta accreta spectrum disorders, a condition with increasing incidence, involves multidisciplinary teams and adherence to guidelines. This study highlights successful outcomes with interventions like iliac artery balloon occlusion, emphasizing improved patient care.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Placenta Accreta Spectrum (PAS) disorders are increasingly prevalent.
- PAS is associated with significant maternal morbidity and mortality.
Purpose of the Study:
- To evaluate the management and outcomes of PAS disorders.
- To emphasize key management recommendations from international guidelines.
Main Methods:
- Retrospective audit of nine PAS cases from January 2018 to December 2019.
- Analysis of management strategies including caesarean section, hysterectomy, and bilateral iliac artery balloon occlusion.
Main Results:
- Eight-nine percent of cases utilized bilateral iliac artery balloon occlusion.
- Median estimated blood loss was 1700 mL, with 67% requiring intraoperative red blood cell transfusion.
- No maternal deaths occurred, and all cases involved multidisciplinary teams.
Conclusions:
- Implementing national guidelines for PAS management can improve patient outcomes.
- Multidisciplinary team involvement is crucial for successful PAS management.
Keywords:
Placenta Accreta Spectrum
