Focal-occult placenta accreta: a clandestine source of maternal morbidity

Focal-occult placenta accreta spectrum is known to cause adverse obstetrical morbidity outcomes, however, direct comparisons with previa-associated placenta accreta spectrum morbidity are lacking. We sought to compare the baseline characteristics, surgical and obstetrical morbidity, and subsequent p...

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Bibliographic Details
Published in:American journal of obstetrics & gynecology MFM 2023-06, Vol.5 (6), p.100924-100924, Article 100924
Main Authors: Larish, Alyssa, Horst, Kelly, Brunton, Joshua, Schenone, Mauro, Branda, Megan, Mehta, Ramila, Packard, Annie, VanBuren, Wendaline, Norgan, Andrew, Shahi, Maryam, Missert, Andrew, Pompeian, Rochelle, Greenwood, Jason, Theiler, Regan
Format: Article
Language:English
Subjects:
Adult
Cesarean Section - adverse effects
Female
focal accreta
Humans
Hysterectomy - methods
Infant
invasive placentation
maternal morbidity
placenta accreta
Placenta Accreta - diagnosis
Placenta Accreta - epidemiology
Placenta Accreta - surgery
Placenta Previa - diagnosis
Placenta Previa - epidemiology
Placenta Previa - etiology
Pregnancy
Pregnancy Outcome
Retrospective Studies
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Summary:Focal-occult placenta accreta spectrum is known to cause adverse obstetrical morbidity outcomes, however, direct comparisons with previa-associated placenta accreta spectrum morbidity are lacking. We sought to compare the baseline characteristics, surgical and obstetrical morbidity, and subsequent pregnancy outcomes of patients with focal-occult placenta accreta spectrum with those of patients with previa-associated accreta. A retrospective review was conducted of all pathologically confirmed placenta accreta spectrum cases from 2018 to 2022 at a tertiary care center. The baseline characteristics, surgical, obstetrical, and subsequent pregnancy outcomes were recorded. Cases of focal-occult placenta accreta spectrum was compared with cases of previa-associated placenta accreta spectrum across a range of morbidity characteristics including hemorrhagic factors, interventions, postdelivery reoperations, infections, and intensive care unit admission. Statistical comparison was performed using Kruskal-Wallis or chi-square tests, and a P value of
ISSN:2589-9333
2589-9333
DOI:10.1016/j.ajogmf.2023.100924