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Article Type

Original Study

Subject Area

Obstetrics and Gynecology

Abstract

Placenta accreta spectrum (PAS) poses a significant issue for obstetricians, primarily attributed to the rising incidence of pregnant women presented by this condition. This research aimed to evaluate management options of placenta accreta spectrum (PAS) at Tanta University Hospitals and to assess safety and efficacy of Shehata's procedure compared to cesarean hysterectomy. Patients & Methods: This observational study was carried out prospectively involving 70 pregnant women presented with PAS to the Emergency Room and Outpatient Clinic of the Obstetrics Department at Tanta University Hospitals, spanning from July 2023 to July 2024. Comprehensive demographic and surgical data were collected and documented. Results: Seventy pregnant women met the inclusion criteria for diagnosis of PAS. The mean age of participants was 31.9 ± 4.95 years and gestational age at time of delivery was 35.9 ± 1.63 weeks. Among the cases, 35 underwent scheduled cesarean deliveries, while another 35 required emergency cesarean deliveries due to complications such as vaginal bleeding, labor pain, and fetal distress. Shehata’s procedure was implemented in 47 cases (67.14%), whereas cesarean hysterectomy was performed in 23 cases (32.86%). Operative time, estimated blood loss, blood transfusion and urinary bladder injuries were significantly lower in Shehata’s procedure than cesarean hysterectomy (P value

IRB Number

2662024

Keywords

PAS, Cesarean hysterectomy, Shehata's procedure, Postpartum hemorrhage.

Creative Commons License

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

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