The Multidisciplinary Management of Placenta Accreta Spectrum: A Comprehensive Series of Eight Cases From a Tertiary...

Background and objective Placenta accreta spectrum (PAS) is a severe obstetric complication associated with significant maternal morbidity and mortality. As cesarean delivery rates continue to rise, the prevalence of PAS is increasing, creating a growing challenge for healthcare systems. This study aimed to present a comprehensive analysis of the multidisciplinary management of PAS in a tertiary care center. Methods We performed a retrospective case series of eight consecutive cases of PAS managed at a tertiary care government hospital between January 2023 and December 2024 (24 months). Data were collected from hospital records, including patient demographics, clinical presentation, imaging findings, surgical management, and maternal outcomes. All cases were managed by a dedicated multidisciplinary team. Results The study included eight patients with a mean age of 29.6 years. All patients had undergone at least one previous cesarean section. The mean gestational age at diagnosis was 32 weeks, and the mean gestational age at delivery was 36.4 weeks. Six patients underwent cesarean hysterectomy, one had a hysterotomy with uterine artery embolization (UAE), and one had a conservative management approach. The mean estimated blood loss was 2.1 litres. There were no maternal deaths, and the most frequent complication observed was bladder injury (n=2). Conclusions This study highlights the importance of a multidisciplinary approach in the management of PAS. Early diagnosis, individualized management strategies, and a coordinated team of specialists can lead to favorable maternal outcomes, even in complex cases. Our results highlight the importance of establishing specialized centers of excellence for managing PAS.