Objective:

To review all conservatively managed PASD cases at a single tertiary-care academic hospital and evaluate the short- and long-term maternal outcomes, including complications and fertility rates, of retaining the uterus in this high-risk population.

Approach:

Key Findings:

• 15 patients underwent conservative management of PASD during the study period.
• Median age of patients was 38 years; 5 of 11 had prior caesarean sections.
• Antenatal imaging identified PASD in 3 out of 8 cases via 20-week ultrasound and 7 out of 10 cases via third-trimester ultrasound.
• Outcomes included complications such as hemorrhage and the need for additional procedures.

Interpretation:

Conservative management of PASD may allow for uterine retention, but further research is needed to evaluate long-term outcomes, risks, and implications for clinical practice.

Limitations:

• Small sample size of 15 patients.
• Retrospective nature may limit data completeness and accuracy.
• Potential biases in patient selection due to referral patterns.

Conclusion:

The study highlights the potential for conservative management in PASD, emphasizing the need for further research to assess long-term outcomes and its implications in the context of existing literature.

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