Search

Background: Placenta accreta spectrum (PAS) is an entity where abnormal trophoblastic invasion of placenta occurs into myometrium of uterine wall either partially or totally. Maternal and perinatal morbidity and mortality is increased in PAS due to severe hemorrhage, requirement of blood transfusion and need for peripartum hysterectomy. Objective: To find out risk factors and fetomaternal outcome after multidisciplinary team approach in cases of placenta accreta spectrum. Material and methods: All case records were obtained from medical record section and carefully analyzed to find out risk factors and primary and secondary outcome measures. Results: Maximum patients were in age group of 30-34 years (48.83%) and were third gravida (39.53%). 34.88 % cases had history of previous 2 LSCS (lower segment caesarian section) and in 67.44% it was associated with placenta previa. 67.44% had postpartum haemorrhage (PPH) with 48.83% unbooked cases. 41.18% cases went into hemorrhagic shock with 34.38 % falling into unbooked category. 69.76% had intensive care unit (ICU) admission due to various indications out of which 83.33% were unbooked and 16.67% were booked. 69.44% baby of unregistered pregnancy went to neonatal intensive care unit (NICU) in comparison to 30.56% of registered cases. Conclusion: Placenta accreta spectrum is associated with adverse maternal and perinatal outcome. Prenatal diagnosis and multidisciplinary team management can improve prognosis of both fetal and maternal outcome.

Objectives: This prospective study was conducted to compare the two widely used colposcopic indices: Reid Colposcopic Index (RCI) score and Swede score. Materials and Methods: This study was conducted on 567 women aged more than 21 years who had a positive screening test or were having symptoms of postcoital / postmenopausal bleeding or unhealthy looking cervix. Colposcopic examination was done in all such patients. RCI score and Swede score were calculated from the colposcopic findings. Biopsy was taken and HPE results were recorded. Results: The mean age was 38.6 ± 9.95 years. There was an excellent correlation between the RCI and Swede scores (correlation coefficient: 0.94 and P value