Placenta Accreta Spectrum Disorder : a case-series report at tertiary care hospital
Deviana Soraya Riu, Isharyah Sunarno, Nugraha Utama Pelupessy

Obstetric and Gynecology department, Hasanuddin University,
Obstetric and Gynecology department Dr Wahidin Sudirohusodo Hospital

Abstract

Objective: This paper aims to evaluate the morbidity experienced by pregnant women with placenta accreta spectrum disorder (PASD).
Methods: a retrospective report carried out in the Department of Obstetrics and Gynecology at Dr. Wahidin Sudirohusodo Hospital.
Result: it found in 33 cases. The mother"s average age is 34.52 years old, with the gestational age of 34.78 weeks; the most is the third pregnancy, 31 cases with cesarean section history and, curettage in 4 cases. The median of the Placenta accreta index in this report is 5.5. The average amount of bleeding is 2700 ml, and blood transfusion units needed are 7.5 blood bags. The most common treatment is the uterus reservation, with no reports of maternal death. The length of stay is about six days.
Conclusion: Maternal death from PASD can be prevented by proper management, although maternal morbidity is still prevalent, uterine reservations can still apply in most cases.

Keywords: placenta accreta spectrum disorder, morbidity, bilateral iliac artery ligation, tourniquet placement

Topic: Maternal, neonatal, and child health