Placenta Accreta Spectrum Program

Risk factors

Several factors increase the risk of developing PAS, including:

• Cesarean delivery
• Placenta previa
• Dilation and curettage (D&C)
• Myomectomy
• Asherman syndrome
• In Vitro Fertilization (IVF)

Diagnosis

An ultrasound is the primary tool for diagnosing PAS, and it is often performed during the second or third trimester of pregnancy. Magnetic Resonance Imaging (MRI) is also used to provide additional detail and confirm the extent of placental invasion.

Skilled team

At Riley Children’s and IU Health, our multidisciplinary team is dedicated to providing comprehensive, patient-centered care. We collaborate closely with referring physicians to ensure seamless, coordinated care from diagnosis through delivery and postpartum recovery. Our skilled team consists of:

• Maternal-Fetal Medicine Specialists
• Gynecologic Oncologists
• Anesthesiologists
• Critical Care Specialists
• Perinatal Radiologists
• Perinatal Pathologists
• Vascular interventional Radiologists
• OB Laborists
• Neonatologists
• Blood Bank Experts
• Obstetric and Surgical Nurses
• Social Workers

What we provide

• High-quality imaging: Advanced ultrasound and MRI for accurate diagnosis and safe delivery planning.
• Personalized care plans: Tailored to each patient's medical needs and preferences.
• Cesarean hysterectomy: Removal of the uterus after delivery to prevent hemorrhage in severe cases.
• Conservative management: This approach is for mild cases of placenta accreta where thorough imaging and surgical evaluation indicate that the benefits of placental delivery and resection rather than hysterectomy outweigh the risks. It aims to manage the condition while minimizing potential complications safely.
• Endovascular occlusion procedures: Minimally invasive techniques to control bleeding by blocking blood flow.
• Postpartum hemorrhage management: Protocols for managing severe bleeding and massive transfusions.
• OB Intensive Care Unit (OB ICU): The unit is within labor and delivery and is staffed 24/7 by adult critical care physicians.
• Preoperative counseling: Detailed preparation for surgery and recovery, addressing patient concerns.
• Postoperative care: Comprehensive follow-up for optimal recovery and emotional support.
• Multidisciplinary coordination: Seamless care coordination among specialists.
• Family support services: Emotional and practical support for families.