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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: Obstetric Quality and Safety

Poster Session 2

(404) Long term (3 year) follow-up for patients with placenta accreta spectrum

Wednesday, February 11, 2026
3:30 PM - 5:00 PM  
Objective:
The impact of placenta accreta spectrum (PAS) on long-term mental and physical health is unknown. The objective of this study was to describe long-term follow-up for patients with PAS, including the impact of hysterectomy.

Study Design:
Retrospective cohort study including postpartum patients complicated by PAS at a single urban hospital between 2009 and 2025. Maternal demographics and health visits for up to three years after PAS delivery were studied and compared based on hysterectomy status.

Results:
Of 325 PAS patients, 2 were lost to follow up; of the remaining 323, 255 (79%) had a hysterectomy. Within 3 years post-delivery, 18% (n=58) developed a mood disorder, 12%(n=38) a substance use disorder, 11% (n=35) urinary dysfunction, and 4% (n=13) sexual dysfunction. These complications were not different for women with and without hysterectomy. Health visits were more common in the 1st year (median: 2 (1-5)) than years 2-3 (median: 0 (0-2)) and were significantly higher in women with hysterectomy. 157 (49%) were seen in the emergency department with 14% (n=44) leading to an admission; this was higher in women with hysterectomy. The location of health visits was significantly different between those who did and did not have a hysterectomy (Table). 

Conclusion:
More than 90% of patients with PAS interacted with follow-up care within our health care system, with the majority of visits immediately postpartum. Nearly one fifth of women developed a mood disorder and 10% developed a substance use disorder. Hysterectomy status did not affect these rates. Our findings support integrated post-partum care to limit the burden of clinic visits and to better screen and evaluate these long-term complications.