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Related Experiment Video

Updated: Jun 10, 2026

Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes

Published on: June 27, 2025

A Case Series on Placenta Accreta Spectrum.

Kaviya Selvaraj1, B Jeyamani1, Naveen Kannan2

  • 1Department of Obstetrics and Gynaecology, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission's Research Foundation (DU), Salem, Tamil Nadu, India.

Annals of African Medicine
|June 9, 2026
PubMed
Summary

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Placenta accreta spectrum requires early diagnosis and multidisciplinary management for severe obstetric hemorrhage. Prompt intervention and planned delivery in tertiary centers improve maternal outcomes despite significant blood loss.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Management of Placental Disorders

Background:

  • Placenta accreta spectrum involves abnormal placental adherence, increasing hemorrhage risk and maternal morbidity.
  • Rising cesarean delivery rates correlate with increased placenta accreta spectrum incidence.
  • Early diagnosis and multidisciplinary management are critical for this condition.

Purpose of the Study:

  • To detail clinical presentation, diagnosis, and management of placenta accreta spectrum.
  • To analyze intraoperative findings and maternal outcomes in a tertiary care setting.
  • To evaluate the effectiveness of planned, multidisciplinary care for placenta accreta spectrum.

Main Methods:

  • Case series of five women with placenta accreta spectrum managed over one year.
Keywords:
Case seriesSérie de cascesarean hysterectomyhystérectomie césariennehémorragie obstétricalemorbidly adherent placentaobstetric hemorrhageplacenta accreta spectrumplacenta morbide adhérentspectre du placenta accreta

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  • Data collected included obstetric history, risk factors, antenatal imaging, and surgical outcomes.
  • Diagnosis confirmed via antenatal ultrasonography and/or intraoperative findings.

    • Main Results:

    • Previous cesarean section was the most frequent risk factor identified.
    • Antenatal suspicion enabled planned delivery and multidisciplinary preparation.
    • Favorable maternal outcomes were achieved through timely interventions and blood product availability, despite significant hemorrhage.

    Conclusions:

    • Placenta accreta spectrum poses a significant risk of life-threatening hemorrhage.
    • Antenatal diagnosis, planned delivery, and a multidisciplinary approach are vital.
    • Effective management strategies are essential for reducing maternal morbidity and mortality.