Association of caesarean section history with adverse pregnancy outcomes in placenta accreta spectrum: the mediating role of placenta previa

A higher number of previous CS procedures in our sample was associated with higher risks of several adverse maternal outcomes in PAS. Neonatal outcomes, however, were not significantly influenced by the number of prior CS procedures and were more strongly affected by the gestational age at delivery. These relationships were partially mediated by PP, highlighting its important, but incomplete role in the pathway linking prior CS to PAS-related complications.