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Abstract

Background: Women with placenta accreta spectrum (PAS) are at increased risk for postpartum depression (PPD). Prevalence of postpartum depression in women with placenta accreta spectrum is 50% whereas the general prevalence is 21%. This suggests a significant impact of PAS on maternal mental health. The objective of this study is to evaluate the risk of PPD among women with and without hysterectomy in PAS.
Methods: This comparative cross-sectional study was conducted at Department of Obstetrics & Gynecology, Jinnah Hospital, Lahore from June to December 2024. A total of 168 women with placenta accreta spectrum were included in the study. Hysterectomy was only done in those patients where all the uterine conservative techniques failed. The Edinburgh postpartum scale (EPDS) was used to assess the risk of postpartum depression in both groups. Data was analyzed in SPSS. Quantitative variables were presented as means + SD. Frequency and percentages were calculated for qualitative variables. Cross tabulation was made for EPDS for the independent variable. A chi-square test was applied, with p < .05 as statistical significance.
Results: This study analyzed 168 women with placenta accreta spectrum, divided into hysterectomy and non-hysterectomy groups. Although the overall prevalence of depression was high in both groups, the severity of symptoms was greater in the hysterectomy group (p=0.043).
Conclusion: The risk of postpartum depression is high in women with placenta accreta spectrum undergone hysterectomy as compared to those without hysterectomy.