Age in years |
33.15 ± 4.93 |
Parity |
2.20 ± 1.37 |
BMI (kg/m2) |
27.89 ± 4.50 |
Smoking |
64 (8.86%) |
Ethnicity
Asian
White (European)
Middle Eastern
|
299 (41.53%)
67 (9.31%)
354 (49.17%)
|
Number of previous CS |
1.38 ± 1.08 |
IVF pregnancy |
34 (4.71%) |
Type of conception
Singleton
Twin pregnancy
|
701 (97.36%)
19 (2.64%)
|
Obstetric complications
Gestational diabetes
Pregestational diabetes
Gestational hypertension
Chronic hypertension
Preeclampsia
Fetal growth restriction
Others
|
62 (8.60%)
7 (0.97%)
21 (2.91%)
17 (2.36%)
13 (1.80%)
11 (1.53%)
36 (4.99%)
|
History of gynecologic surgery
Obstetric D & C
Gynecologic D & C
Open myomectomy
Laparoscopic myomectomy
Hysteroscopic adhesiolysis
Hysteroscopic septum resection
Others
|
189 (26.92%)
105 (14.96%)
9 (1.28%)
1 (0.14%)
5 (0.71%)
5 (0.71%)
7 (1.00%)
|
Gestational age at diagnosis in weeks |
26.71 ± 6.20 |
Gestational age at delivery in weeks |
35.10 ± 3.19 |
Method of diagnosis
Ultrasound alone
Ultrasound and Doppler
Ultrasound confirmed by MRI
MRI only (inconclusive ultrasound)
Intrapartum diagnosis
|
34 (4.72%)
429 (59.58%)
208 (28.89%)
2 (0.28%)
47 (6.53%)
|
Placental location
Central
Anterior low
Posterior low
High anterior
High posterior
Fundal
|
260 (35.76%)
233 (32.05%)
185 (25.45%)
15 (2.06%)
18 (2.48%)
16 (2.20%)
|
Type of invasion
Focal
Complete
|
446 (61.52%)
279 (38.48%)
|
Organ invasion
No organ involvement
Bladder invasion
Parametrium invasion
Others
|
613 (84.32%)
95 (13.07%)
18 (2.48%)
1 (0.14%)
|
Type of CS incision
Low transverse
High transverse
Classic
Low vertical
|
404 (56.03%)
201 (27.88%)
101 (14.01%)
15 (2.08%)
|
Relation of incision to placenta
Incision through the placenta
Incision away from the placenta
|
205 (28.75%)
508 (71.25%)
|
Antenatal steroids
Complete course
Incomplete course
Not indicated
|
304 (42.16%)
108 (14.98%)
309 (42.86%)
|
Indication of delivery
Elective (related to accreta)
Elective (not related to accreta)
Emergency (related to accreta)
Emergency (not related to accreta)
|
485 (67.36%)
55 (7.64%)
141 (19.58%)
39 (5.42%)
|
Antepartum hemoglobin (g/dl) |
11.04 ± 1.43 |
Preoperative ultrasound |
693 (95.32%) |
Intraoperative ultrasound |
30 (4.13%) |
PAS type
Placenta accreta
Placenta increta
Placenta percreta
|
303 (41.68%)
227 (31.22%)
197 (27.10%)
|
Management of PAS
Planned hysterectomy
Conservative management
|
135 (18.70%)
587 (81.30%)
|
Outcomes of conservative management
Successful
Failed
|
469 (79.90%)
118 (20.10%)
|
Conservative management
Local uterine resection
Intrauterine balloon placement
Internal iliac artery ligation
Uterine artery ligation
Ovarian artery ligation
Extensive suturing of placental bed
Compression sutures
B-Lynch suture
Nausicaa suture
|
33 (5.62%)
67 (11.41%)
72 (12.27%)
89 (15.16%)
36 (6.13%)
115 (19.59%)
193 (32.88%)
146 (24.87%)
15 (2.06%)
|
Interventional radiology
Uterine artery embolization
Common iliac artery balloon
Internal iliac artery balloon
|
68 (9.42%)
27 (3.71%)
44 (6.05%)
6 (0.83%)
|
Intraoperative surgical complications
No complications
Unintentional cystotomy
Ureteric injury
Bowel injury
|
643 (88.45%)
74 (10.18%)
5 (0.69%)
5 (0.69%)
|
Cord clamping
Immediate cord clamping
Delayed cord clamping (> 30 seconds)
|
604 (83.31%)
121 (16.69%)
|
Intraoperative tranexamic acid |
240 (33.01%) |
Estimated blood loss in ml |
1786.33 ±1707.74 |
DIC |
42 (5.78%) |
Transfusion of blood products
Number of transfused RBC units
Number of transfused whole blood units
Number of transfused FFP units
Number of transfused cryoprecipitate units
Number of transfused platelet units
|
2.66 ± 4.91
0.38 ± 1.63
1.37 ± 2.69
1.42 ± 6.37
0.81 ± 4.45
|
Admission to maternal ICU |
189 (26.0%) |
Duration of admission to ICU in days |
0.54 ± 1.20 |
Duration of maternal hospital stay |
6.16 ± 6.36 |
Postoperative hemoglobin (g/dl) |
9.33 ± 1.75 |
Maternal mortality |
1 (0.14%) |
IUFD |
11 (1.51%) |
Postoperative maternal morbidity
Acute kidney injury
Pulmonary edema
Ileus
Femoral/external iliac thrombosis
Femoral arteriovenous fistula
Others/unrelated
|
17 (2.35%)
4 (0.55%)
4 (0.55%)
1 (0.14%)
3 (0.41%)
1 (0.14%)
4 (0.55%)
|