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CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
Recording available 2/16-5/2
Recording available 2/16-5/2
AIUM Credit
AIUM Credit
Foundation Awardee
Foundation Awardee
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Abstract Award
Abstract Award
Foundation Awardee
Foundation Awardee

Poster Session 2

Category: Clinical Obstetrics

Poster Session 2

(642) Anesthetic Experience of Patients with Undergoing Cesarean Hysterectomy for Placenta Accreta Spectrum

Wednesday, February 11, 2026
3:30 PM - 5:00 PM  
Objective:
To understand the patient experience with the three most common anesthetic modalities during cesarean hysterectomy for placenta accreta spectrum (PAS). 

Study Design:
We conducted a multi-center qualitative study of English-speaking participants with an antepartum concern for PAS managed by cesarean hysterectomy within the last 3 years. Participants were recruited into categories based on three anesthetic approaches: general anesthesia (GA) for both cesarean and hysterectomy; neuraxial anesthesia (NA) for cesarean followed by GA for hysterectomy; and NA for both cesarean and hysterectomy. Enrollment continued until thematic saturation was reached within each anesthetic cohort. Participants were interviewed by two trained researchers using a semi-structured guide. Interviews were audio-recorded, transcribed, and uploaded into qualitative software for coding. The study utilized a modified grounded theory and phenomenology approach to identify emergent themes and guide the analysis. Interviews were coded using a structured approach by two coders with high inter-rate reliability (k >0.8). Patient demographics were compared by anesthetic modality.

Results:
22 patient interviews were conducted between 11/2022 – 7/2025. All patients were multiparous and had at least 1 prior cesarean section. Two cases were excluded from analysis due to an emergent delivery requiring GA. All other cases utilized their antepartum planned anesthetic modality. Of the analyzed cohort (20), 25% (5) had GA, 40% (8) had the combination of NA followed by GA, and 35% (7) had NA only. Baseline demographics were similar between anesthetic modalities (Table 1). Emergent themes focused on psychological feelings of control, normalization of the experience, birth preferences as well as physical concerns for the neonate’s safety, duration of the procedure, and partner’s participation (Table 2).

Conclusion:
Understanding the lived experience with anesthesia of birthing people undergoing cesarean hysterectomy for PAS will help care teams provide more comprehensive counseling to guide shared decision making with regards to anesthesia modality.