This study evaluates the clinical implementation of intra-operative topographic classification system for PAS. In addition to a standard of care risk stratification prenatal ultrasound for patients with a risk of PAS, this study adds an additional intraoperative surgical staging protocol to validate the classification system, improve surgical approach, and significantly clinical outcomes of pregnant people with an a prior risk of PAS. The study will involve pregnant patients with PAS risk factor, include data collection spanning prenatal assessment, intraoperative classification, surgical technique implementation and postoperative analysis. The anticipated study duration is approximately 36-48 months.
Pregnant people suspected of having PAS based on ultrasound findings or clinical risk factors
Patients undergoing planned surgical intervention for PAS, including a planned cesarean
Individuals who provide informed consent to participate in the study
Patients with at least one prenatal assessment before surgery
Patients who decline participation or withdraw consent
Those with contraindications to the planned surgical procedure