Comprehensive Patient-centered Postpartum Care for Placenta Accreta Spectrum

Clin Obstet Gynecol. 2025 Jun 1;68(2):283-289. doi: 10.1097/GRF.0000000000000941. Epub 2025 Apr 4.

Abstract

Placenta accreta spectrum survivors face unique physical, psychological, and social challenges extending beyond traditional postpartum care. These patients experience prolonged physical recovery and difficult psychological recovery. Many struggle with grief over fertility loss following hysterectomy. Comprehensive care requires an expanded multidisciplinary team with coordinated transitions between specialists. Recovery often extends months to years, necessitating individualized care pathways that address the full spectrum of needs to optimize the long-term well-being for these patients and their families.

Keywords: fourth trimester; hysterectomy; lactation; mental health; physical therapy; sexual health.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Hysterectomy / psychology
  • Patient Care Team
  • Patient-Centered Care*
  • Placenta Accreta* / psychology
  • Placenta Accreta* / surgery
  • Placenta Accreta* / therapy
  • Postnatal Care* / methods
  • Pregnancy