Retrospective evaluation reveals significant clinical differences in maternal outcomes for placenta previa and PAS cases, highlighting the need for specialized care.
Aim: In this study, we aimed to evaluate the demographic characteristics and maternal and perinatal outcomes of placenta previa and PAS cases in our clinic over a three period. Methods: The sociodemographic characteristics and laboratory results of 94 participants (control = group 1; n=30, placenta previa = group 2; n=44, and PAS = group 3; n=20) were documented and compared between the groups. Results: Gravity, parity, previous cesarean sections, symptoms on admission, signs of invasion at ultrasonography, gestational age at delivery, birthweight, neonatal intensive care unit admission rate, hysterectomy rate, length of hospital stay, blood transfusion, and atony differed significantly between the groups (p<0.05). Additionally, postoperative hemoglobin (groups 1 vs 2, 10.96+1.78 vs 9.66+1.22; p<0.001 and groups 1 vs 3, 10.96+1.78 vs 9.37+1.20; p<0.001) and Htc (groups 1 vs 2, 32.23±2.84 vs 28.83±3.97; p=0.001 and groups 1 vs 3, 32.23±2.84 vs 28.36±3.49; p<0.001) levels differed between them. Conclusions: Invasion status and timing of delivery should be determined by means of ultrasonography in cases of placenta previa and PAS. A multidisciplinary approach to pregnant women with PAS in tertiary centers and involving an experienced team is very important in reducing maternal morbidity and mortality rates.
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Sayal et al. (2024) studied this question.
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