PLACENTA ACCRETA SPECTRUM AND OBSTETRIC HYSTRCTOMIES IN RELATION TO INCREASING CESAREAN SECTION

Background and objectives: Placenta accreta spectrum (PAS), first described in 1937, refers to the pathologic invasion of the placental trophoblasts to the myometrium and beyond, which was formerly known as morbidly adherent placenta. The main objective of the study is to analyse the placenta accreta spectrum and obstetric hystrctomies in relation to increasing cesarean section. Material and methods: This descriptive study was conducted in Rawalpindi medical University during June 2019 to March 2020. The data was collected with the permission of ethical committee of hospital. Examination of the clinical record was used to determine if placenta accreta was suspected before delivery. Results: The data was collected from 102 patients. The mean age of the patients was 32.8 ± 4.3 years. The mean duration of leaving the placenta in place was 54.4 ± 11.7 days (range 32–72 days). All cases in which the placenta left in place underwent elective laparotomy later on to remove the placenta. Conclusion: It is concluded that women with PAS disorders who completed their family should be offered cesarean hysterectomy