From: Impact of IVF/ICSI on grades of placenta accreta spectrum disorders and pregnancy outcomes
Outcomes | Before PSM | After PSM | ||||
---|---|---|---|---|---|---|
Spontaneous conception (n = 820) | IVF/ICSI pregnancy (n = 154) | P value | Spontaneous conception (n = 123) | IVF/ICSI pregnancy (n = 123) | P value | |
Maternal outcome | ||||||
 PAS Grades [n(%)] |  |  | < 0.001 |  |  | 0.290 |
 Placenta crete | 313(38.2) | 103(66.9) |  | 74 (60.2) | 82 (66.7) |  |
 Placenta increta | 459(56.0) | 50(32.5) |  | 45 (36.6) | 40 (32.5) |  |
 Placenta percreta | 48(5.9) | 1(0.7) |  | 4 (3.3) | 1 (0.8) |  |
 Postpartum hemorrhage [n(%)] | 313(38.2) | 25(16.2) | < 0.001 | 3 (2.4) | 23 (18.7) | < 0.001 |
 Red blood cells transfusion ≥ 4U [n(%)] | 163(19.9) | 13(8.4) | < 0.001 | 5 (4.1) | 13 (10.6) | 0.044 |
 Hysterectomy [n(%)] | 159(19.4) | 6(3.9) | 0.254 | 9 (7.3) | 6 (4.9) | 0.424 |
Neonatal outcome | ||||||
 Birth weeks [wk,n(%)] |  |  | < 0.001 |  |  | 0.927 |
≥ 28–34a | 103(12.6) | 22(14.3) |  | 19 (15.4) | 18 (14.6) |  |
34–37a | 377(46.0) | 37(24.0) |  | 33 (26.8) | 31 (15.2) |  |
≥ 37 | 340(41.5) | 95(61.7) |  | 71 (57.7) | 74 (60.2) |  |
 Birth weight [g,n(%)] |  |  | 0.399 |  |  | 0.816 |
< 1500 | 37(4.5) | 10(6.5) | Â | 8 (6.5) | 9 (7.3) | Â |
1500–2500 | 224(27.3) | 36(23.4) |  | 29 (23.6) | 25 (20.3) |  |
≥ 2500 | 559(68.2) | 108(70.1) |  | 86 (69.9) | 89 (72.4) |  |
 NICU [n(%)] | 28(3.4) | 2(1.3) | 0.301 | 34 (27.6) | 27 (22.0) | 0.301 |