Maternal Outcome of Placenta Accreta Spectrum Disorder Patients admitted at Cumilla Medical College Hospital

Abstract

Background: Placenta Accreta Spectrum Disorder (PAS) is a complex obstetric condition with significant implications for maternal and fetal health. The study aims to provide a comprehensive understanding of the maternal and fetal outcomes associated with PAS in a tertiary care hospital in Bangladesh. Material & Methods: This prospective observational study was conducted at a tertiary care hospital in Bangladesh over 18 months. The study included 60 pregnant women diagnosed with PAS, adhering to specific inclusion and exclusion criteria. Data were collected through structured questionnaires and analyzed using SPSS version 26. Results: The majority of participants was aged between 21-30 years (76.67%) and had completed their Higher Secondary Certificate (HSC) (50%). Regular antenatal care was reported by 50% of the participants. Hemorrhage was observed in 21.67% of the cases, with 36.67% requiring blood transfusion. Maternal outcomes were uneventful in 78.33% of the cases, and fetal outcomes resulted in 90% live births. Conclusions: The study reveals the complex nature of PAS and its significant impact on maternal and fetal health. Despite the high incidence of hemorrhage and the need for blood transfusion, proactive and multidisciplinary management strategies appear to result in a majority of uneventful maternal outcomes. The findings emphasize the need for comprehensive antenatal care and further research to improve outcomes.