Obstetric characteristics and maternal outcomes of early second-trimester placenta accreta spectrum.

ABSTRACT:

Objective

To describe early second-trimester placenta accreta spectrum (PAS) management and outcomes.

Methods

This cross-sectional study queried the US Healthcare Cost and Utilization Project's National Inpatient Sample from 2016 to 2021, finding 905 cases with a diagnosis of PAS between 14 and 22 weeks of gestation and in-hospital management. Descriptive analysis was performed to: (1) characterize PAS management variations at the intention-to-treat level and need for conversion to hysterectomy at the per-procedure level, and (2) evaluate maternal morbidity compared with 5365 cesarean hysterectomies for PAS between 34 and 36 weeks of gestation via generalized linear modeling.

Results

Early second-trimester PAS was managed most frequently via induction abortion (29.8%)

SUBMITTER: Karunaratne MS 

PROVIDER: S-EPMC12724037 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature