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Document Type

Original Article

Abstract

Objective: it is to evaluate the effectiveness and side effects of various treatment options for placenta accreta spectrum.

Patients and Procedures: Between November 2011 and September 2021, this trial was done as a prospective study at the Sayed Galal Hospital and the Aga Central Hospital. 100 women who were diagnosed with placenta previa accreta by the US participated in this study. The cases were initially advised to receive conservative care, but a radical cesarian hysterectomy was performed if uncontrollable haemorrhage was faced.

Results: There was no statistically significant difference between the two groups regarding the studied maternal outcomes. 23% of our sample were admitted to the ICU. 26.9% of them endured bladder injury (37.5% versus 10% in the conservatively treated group and the radically treated group, respectively, p=0.12). 37.5% of the conservatively treated group experienced postpartum endometritis, p= 0.16. Finally 12.5% experienced septicemia in the conservatively treated group, p=0.26. We experienced 30% mortality of the neonates in the radically treated group, p=0.02, and this is a statistically significant difference between the two groups.

Conclusion: The option of treatment for placenta accreta must be made depending on preference, resources, skills, and circumstances. Both conservative treatment and reconstructive surgery have benefits and drawbacks.

Keywords

placenta previa; placenta accreta; radical treatment; conservative therapy

Subject Area

Obstetrics and Gynecology

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