Various Gestational Age Manifestations of Placenta Accreta Syndrome (PAS): A Case-Series Study at Tertiary Care Referral Centre in Northern India

Abstract

Placenta accreta syndrome (PAS) is emerging as a common complication of post-caesarean pregnancy and carries a significant risk of potentially life-threatening maternal morbidity and mortality. Its incidence is increasing due to the worldwide rise in the caesarean section (CS) rate. Implementing routine screening for PAS in patients with a history of CS can aid in early detection. Utilizing advanced imaging techniques to assess placental implantation and invasion can diagnose its extent. Management is a multidisciplinary team-based approach including minimal invasive surgeons, the accreta team, and interventional radiologists, ensuring coordinated care and planning for potential complications.

Informed decision-making in patients with prior caesarean sections about the risks associated with PAS and the importance of early prenatal care, as well as the patient's wish for future fertility, also plays a major role.