Maternal and Neonatal Outcomes after Planned or Emergency Delivery for Placenta Accreta Spectrum
DOI:
https://doi.org/10.54112/bcsrj.v6i2.1558Keywords:
Pregabalin, Hemodynamics, PneumoperitoneumAbstract
For the mother, placenta accreta spectrum is a fatal disorder that frequently causes significant blood loss. So, proper management and care are vital to prevent adverse outcomes. Objective: This study aimed to determine the Maternal and Neonatal Outcomes after Planned or Emergency Delivery for Placenta Accreta Spectrum. Methodology: The current cross-sectional descriptive Study was conducted at the Department of Gynecology and Obstetrics, Sheikh Zayed Hospital and Medical College, Rahim Yar Khan, over 6 months. Total 30 women fulfilling the inclusion criteria from the in-patient department of obstetrics and gynecology, SZH RYK were included in the study. Depending on delivery, planned or emergency caesarean delivery, the women were divided into two groups and were followed up for the Maternal & neonatal Outcome. Data were entered into and analyzed using SPSS-24. Results: 30 women with Placenta accreta spectrum were included in the current study. Among them 20(66.6) underwent planned and 10(33.33%) emergency caesarean delivery. The basic maternal characteristics were not significantly different between the two groups; however, the women who had emergency caesarean delivery had a high parity and a lower BMI (P ˂0.05). The group that had an emergency delivery had a considerably larger percentage of women who experienced antepartum haemorrhage (50% P <.001). The median gestational ages at which emergency deliveries occurred were noticeably lower (value of p less than 0.001). Nonetheless, women having an emergency delivery had a greater risk of maternal ICU admissions (value of P.02). We compared neonatal outcome in both groups the admission to intensive care unit in Emergency delivery was higher (48%) as compared to planned delivery (15%) (P value <0.001) Conclusion: Our study concluded that emergency deliveries did not result in higher rates of maternal morbidity, transfusions, or blood loss. Antenatal haemorrhage was the single biggest risk factor for emergency delivery. Emergency delivery increased the risk of maternal and neonatal ICU admissions.
Downloads
References
Tantbirojn P, Crum CP, Parast MM. Pathophysiology of placenta creta: the role of decidua and extravillous trophoblast. Placenta. 2008 Jul; 29(7):639-45.
Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol. 2005 May; 192(5):1458-61.
Jauniaux E, Bunce C, Grønbeck L, Langhoff-Roos J. Prevalence and main outcomes of placenta accreta spectrum: a systematic review and meta-analysis. Am J Obstet Gynecol. 2019 Sep;221(3):208-18.
Garmi G, Salim R. Epidemiology, etiology, diagnosis, and management of placenta accreta. Obstet Gynecol Int. 2012; 2012:873929.
Bartels HC, Postle JD, Downey P, Brennan DJ. Placenta Accreta Spectrum: A Review of Pathology, Molecular Biology, and Biomarkers. Dis Markers. 2018 Jul 3; 2018:1507674.
Jauniaux E, Bhide A, Kennedy A, Woodward P, Hubinont C, Collins S; FIGO Placenta Accreta Diagnosis and Management Expert Consensus Panel. FIGO consensus guidelines on placenta accreta spectrum disorders: Prenatal diagnosis and screening. Int J Gynaecol Obstet. 2018 Mar;140(3):274-80.
Dwyer BK, Belogolovkin V, Tran L, Rao A, Carroll I, Barth R, et al. Prenatal diagnosis of placenta accreta: sonography or magnetic resonance imaging? J Ultrasound Med. 2008 Sep;27(9):1275-81.
Seoud MA, Nasr R, Berjawi GA, Zaatari GS, Seoud TM, Shatila AS, et al. Placenta accreta: Elective versus emergent delivery as a major predictor of blood loss. J Neonatal Perinatal Med. 2017;10(1):9-15.
Fishel Bartal M, Papanna R, Zacharias NM, Soriano-Calderon N, Limas M, Blackwell SC, et al. Planned versus Unplanned Delivery for Placenta Accreta Spectrum. Am J Perinatol. 2022 Feb;39(3):252-8.
Yasmeen N, Ahmad S, Khanum Z, Khanum F, Khan S. Fetomaternal Out Come Placenta Accreta Spectrum(PAS)ina Tertiary Care Teaching Hospital. JAIMC 2023;21(1): 34-39
Chantraine F, Nisolle M, Petit P, Schaaps J- P, Foidart J- M. Individual decisions in placenta increta and percreta: a case series. J Perinat Med. 2012; 40:265- 270.
Jauniaux E, Silver RM, Matsubara S. The new world of placenta accreta spectrum disorders. Int J Gynaecol Obstet. 2018; 140:259- 260.
Fitzpatrick K, Sellers S, Spark P, Kurinczuk J, Brocklehurst P, Knight M.The management and outcomes of placenta accreta, increta, and percreta in the UK: a population- based descriptive study. BJOG. 2014;121:62- 71
Morlando M, Collins S. Placenta accreta spectrum disorders: challenges, risks, and management strategies. Int J Womens Health. 2020;12:1033- 1045
Fishman SG, Chasen ST. Risk factors for emergent preterm delivery in women with placenta previa and ultrasound findings suspicious for placenta accreta. J Perinat Med. 2011;39:693- 696
Taşgöz, Fatma Nurgül, et al. "The comparison of maternal and neonatal outcomes between emergency and planned cesarean deliveries in women with placenta previa." The European Research Journal 8.3 (2022): 359-367
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Simab Sajid, Noreen Nasim

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.