About placenta accreta spectrum (PAS)

PAS refers to a situation where the placenta grows too deeply into the wall of the uterus, which can cause complications during delivery.

After the birth

Having a baby changes your body physically. It can also affect your emotional wellbeing.

It can be especially challenging if you experience PAS.

You can ask for help in different ways.

  • A health visitor will be in contact, usually between 10 and 14 days after you give birth.
  • You will also have a postnatal check with your GP at 6 to 8 weeks after birth. You can use this time to discuss any problems.

Your midwife, health visitor or GP can refer you to a specialist if needed. 

Remember to complete each course of medicines and attend each follow-up appointment.

Physical support

Speak to your health visitor or GP if you have concerns about any of the following:

  • wound healing
  • pain
  • bladder or bowel function
  • vaginal function.

Emotional support

Talk to your health visitor or GP.  They can refer you to a specialist if needed. 

You can also refer yourself to NHS Talking Therapies (see More information below).

Avoid risk to you or your baby

Consider following these measures, when possible.

  • Do not share a bed with your baby or babies if you take medicines (including painkillers) that can make you sleepy.
  • Try to arrange for your partner or a family member to be there to support you during the first few weeks after the birth. 

Important

Contact your maternity team if you are worried about bleeding or infection.

If you attend the Emergency Department (A&E) let them know about your PAS and hysterectomy which has been treated by leaving the placenta in the womb. You may require a further operation.

Future pregnancy

We recommend you wait at least 12 to 18 months before trying for another baby.  This will allow the scar on your womb to heal properly.

Recommendations made by your current birth obstetricians will be taken into consideration if you become pregnant again. This is important because up to 1 in 3 women will experience PAS again.

Contact information

Maternity Triage

Telephone:

020 8934 2802