@Article{crph6261,
AUTHOR = {Alsayed, Mohammed Abd Elmoez and Dawood, Ashraf and Wadi, Khalid Al and Alshaya, Amani and Sayed, Hosam Mohammed Leithy and Sanie, Eman Al and Turki, Faisal Al and Butt, Yasser and Arnos, Hasan and Bakri, Manal Al and Khatab, Ahmed and Albahlol, Ibrahim A.},
TITLE = {Management of Placenta Accreta Spectrum Disorders: A Prospective Single-Centre Experience of 236 Cases in Riyadh, Saudi Arabia (2018–2024)},
JOURNAL = {Current Research in Public Health},
VOLUME = {5},
YEAR = {2026},
NUMBER = {1},
PAGES = {9-15},
URL = {https://www.scipublications.com/journal/index.php/UJOG/article/view/6261},
ISSN = {2831-5162},
DOI = {10.31586/ujog.2026.6261},
ABSTRACT = {Objective: To evaluate maternal and neonatal outcomes of women with placenta accreta spectrum (PAS) disorders managed by a dedicated multidisciplinary team at a tertiary referral centre in Riyadh, Saudi Arabia. Methods: We conducted a prospective case series of all women with antenatally suspected and intraoperatively or histopathologically confirmed PAS managed at King Fahad Medical City between April 2018 and December 2024. Women with high suspicion of PAS were electively admitted at 31+6 weeks’ gestation for optimisation when feasible and delivered by midline laparotomy and fundal or classical caesarean incision with the placenta left in situ. Definitive management consisted of hand-assisted retrograde caesarean hysterectomy or segmental uterine resection with reconstruction. Outcomes included operative time, quantified blood loss, transfusion requirements, intra- and postoperative complications, intensive care unit (ICU) admission, hospital stay, and neonatal morbidity. Results: A total of 236 women with confirmed PAS were managed. Median maternal age was 36 years and placenta previa coexisted in 86.9%. Elective caesarean delivery at 34+0–35+6 weeks occurred in 72.0%, whereas 28.0% required emergency delivery for haemorrhage or labour. Caesarean hysterectomy was performed in 85.2% and conservative segmental uterine resection in 14.8%. Median operative time was 135 minutes and median blood loss 4.3 L; the median transfusion requirement was six units of packed red blood cells. Intraoperative complications occurred in 27.1%, most commonly bladder injury (14.8%). One woman (0.4%) died intraoperatively from disseminated intravascular coagulation with intracardiac thrombosis. ICU admission was required in 66.0%. Neonatal intensive care unit admission occurred in 53.0%, mainly because of prematurity; there were no neonatal deaths. Conclusion: Centralised multidisciplinary management of PAS with planned delivery at 34–35 weeks, avoidance of placental removal, and use of retrograde hysterectomy or segmental resection can minimise haemorrhage and maternal mortality while maintaining acceptable neonatal outcomes in a high-volume referral centre.},
}

%0 Journal Article
%A Alsayed, Mohammed Abd Elmoez
%A Dawood, Ashraf
%A Wadi, Khalid Al
%A Alshaya, Amani
%A Sayed, Hosam Mohammed Leithy
%A Sanie, Eman Al
%A Turki, Faisal Al
%A Butt, Yasser
%A Arnos, Hasan
%A Bakri, Manal Al
%A Khatab, Ahmed
%A Albahlol, Ibrahim A.
%D 2026
%J Current Research in Public Health

%@ 2831-5162
%V 5
%N 1
%P 9-15

%T Management of Placenta Accreta Spectrum Disorders: A Prospective Single-Centre Experience of 236 Cases in Riyadh, Saudi Arabia (2018–2024)
%M doi:10.31586/ujog.2026.6261
%U https://www.scipublications.com/journal/index.php/UJOG/article/view/6261

TY  - JOUR
AU  - Alsayed, Mohammed Abd Elmoez
AU  - Dawood, Ashraf
AU  - Wadi, Khalid Al
AU  - Alshaya, Amani
AU  - Sayed, Hosam Mohammed Leithy
AU  - Sanie, Eman Al
AU  - Turki, Faisal Al
AU  - Butt, Yasser
AU  - Arnos, Hasan
AU  - Bakri, Manal Al
AU  - Khatab, Ahmed
AU  - Albahlol, Ibrahim A.
TI  - Management of Placenta Accreta Spectrum Disorders: A Prospective Single-Centre Experience of 236 Cases in Riyadh, Saudi Arabia (2018–2024)
T2  - Current Research in Public Health
PY  - 2026
VL  - 5
IS  - 1
SN  - 2831-5162
SP  - 9
EP  - 15
UR  - https://www.scipublications.com/journal/index.php/UJOG/article/view/6261
AB  - Objective: To evaluate maternal and neonatal outcomes of women with placenta accreta spectrum (PAS) disorders managed by a dedicated multidisciplinary team at a tertiary referral centre in Riyadh, Saudi Arabia. Methods: We conducted a prospective case series of all women with antenatally suspected and intraoperatively or histopathologically confirmed PAS managed at King Fahad Medical City between April 2018 and December 2024. Women with high suspicion of PAS were electively admitted at 31+6 weeks’ gestation for optimisation when feasible and delivered by midline laparotomy and fundal or classical caesarean incision with the placenta left in situ. Definitive management consisted of hand-assisted retrograde caesarean hysterectomy or segmental uterine resection with reconstruction. Outcomes included operative time, quantified blood loss, transfusion requirements, intra- and postoperative complications, intensive care unit (ICU) admission, hospital stay, and neonatal morbidity. Results: A total of 236 women with confirmed PAS were managed. Median maternal age was 36 years and placenta previa coexisted in 86.9%. Elective caesarean delivery at 34+0–35+6 weeks occurred in 72.0%, whereas 28.0% required emergency delivery for haemorrhage or labour. Caesarean hysterectomy was performed in 85.2% and conservative segmental uterine resection in 14.8%. Median operative time was 135 minutes and median blood loss 4.3 L; the median transfusion requirement was six units of packed red blood cells. Intraoperative complications occurred in 27.1%, most commonly bladder injury (14.8%). One woman (0.4%) died intraoperatively from disseminated intravascular coagulation with intracardiac thrombosis. ICU admission was required in 66.0%. Neonatal intensive care unit admission occurred in 53.0%, mainly because of prematurity; there were no neonatal deaths. Conclusion: Centralised multidisciplinary management of PAS with planned delivery at 34–35 weeks, avoidance of placental removal, and use of retrograde hysterectomy or segmental resection can minimise haemorrhage and maternal mortality while maintaining acceptable neonatal outcomes in a high-volume referral centre.
DO  - Management of Placenta Accreta Spectrum Disorders: A Prospective Single-Centre Experience of 236 Cases in Riyadh, Saudi Arabia (2018–2024)
TI  - 10.31586/ujog.2026.6261
ER  -