Management of placenta accreta spectrum disorders in COVID 19 patients

Successful Anesthesia Management of Complicated Case of Placenta Previa Accreta with Massive Intraoperative Bleeding and Incidentally Detected COVID-19

“…Though PAS is life threatening condition, presence of SARS-CoV-2 further can deteriorate the disease process as synctiotrophoblast is an effective carrier for virus infection [1,8]. Here the associated latent SARS-CoV-2 infection detected in the postoperative period might have caused cytokine storm triggering consumable coagulopathy resulting in the severe form of the disease [8].…”

“…The COVID-19 pandemic has made difficult to respond to the maternal health globally. There has been decline in the occupancy and growing concern in morbidity and mortality associated with late presentation [1]. The placenta previa accreta is a serious obstetric condition with high risk of postoperative complications requiring the use of multiple health resources [1,2].…”

“…There has been decline in the occupancy and growing concern in morbidity and mortality associated with late presentation [1]. The placenta previa accreta is a serious obstetric condition with high risk of postoperative complications requiring the use of multiple health resources [1,2]. Women with prior history of caesarean section with low lying placenta previa represent more than 90% of cases of placenta accreta spectrum [1].…”

“…The placenta previa accreta is a serious obstetric condition with high risk of postoperative complications requiring the use of multiple health resources [1,2]. Women with prior history of caesarean section with low lying placenta previa represent more than 90% of cases of placenta accreta spectrum [1]. There is a correlation between increased levels of circulating coagulation factors including plasmin and COVID-19, with increased risk of thrombosis [3].…”