Psychological Outcomes Associated with Severe Placenta Accreta Spectrum Disorder with Cesarean Hysterectomy: A Retrospective Survey Study


DOI: 10.62858/apphULU8zaFU

Volume/Issue :
Volume 38
Issue 1
(04 - 2024)

Author(s) :

Madison P. Noall, MA, Annastacia R. Woytash, DO, Laura L. Sorabella, MD, Britany R. Raymond, MD, Susanna Sutherland, PhD, MS, MEd, Holly B. Ende, MD, MS.

Abstract :

This retrospective survey study assesses rates of postpartum depression (PPD) and postpartum post-traumatic stress disorder (PTSD) in patients with prior hysterectomy for severe placenta accreta spectrum. 50% of patients met the Edinburgh Postnatal Depression Scale threshold for PPD, and 35% met the Post-traumatic Stress Disorder Checklist-5 (PCL-5) threshold for PTSD. Patients who underwent a delayed hysterectomy were more likely to report symptoms of PTSD (75% vs. 8%, p<0.01) and had higher median PCL-5 scores than an immediate hysterectomy (51 [IQR 16,61]) vs. 11 [IQR 2,21], p=0.01). Larger, prospective studies are needed to confirm these findings and determine standardized interventions for patients at high risk of psychological sequelae.