Evaluation of Clinical Outcomes and Acceptability of an Anatomical Classification for Placenta Accreta Spectrum A Multicentric Prospective Cohort Study

What this Trial Is About

Researchers are conducting a multicenter prospective study to evaluate clinical outcomes in pregnant patients diagnosed with placenta accreta spectrum (PAS). The study focuses on categorizing patients using a topographic classification system and assessing how well this classification is accepted by obstetrician-gynecologists at participating medical centers. The aim is to describe patient characteristics and correlate classification categories with clinical results. This observational study collects data from routine medical records of patients diagnosed prenatally or during surgery with PAS who undergo surgical intervention. The study includes multiple hospitals experienced in applying the PAS topographic classification. Data collection will cover outcomes until hospital discharge, with a planned enrollment period of two years starting from the first participant. Participants will have their postoperative hospital stay length, intraoperative blood loss, bladder injuries, surgical reinterventions, vascular complications, and maternal mortality monitored for up to 42 days postpartum, with maternal death tracked for up to 24 months. The study involves no experimental treatments, focusing on observing and recording clinical outcomes and surgeon acceptance of the classification system.

Placenta Accreta Spectrum Topographic Classification