A Quality Improvement Initiative to Decrease Maternal Morbidity in Placenta Accreta Spectrum with a Standardized Approach: A Single Institution Experience

Placenta accreta spectrum (PAS) is a rare, though increasing complication of pregnancy. Prior studies have suggested standardized management to PAS at tertiary centers can improve outcomes. We studied the effect of standardized multidisciplinary care at a single tertiary care center on composite maternal morbidity by reviewing outcomes retrospectively before and after implementation of a standardized treatment protocol. We found no statistical difference in composite outcomes in pre- and post-implementation groups though there was a lower likelihood of emergent deliveries, smaller amount of blood loss and decreased rate of emergent delivery. A standardized approach to PAS care may lead to improvements in some maternal outcomes.