Association of caesarean section history with adverse pregnancy outcomes in placenta accreta spectrum: the mediating role of placenta previa

Key Points

• The study investigates how a history of caesarean sections influences adverse outcomes in placenta accreta spectrum.
• Analyzed previous caesarean section history in subjects with placenta accreta spectrum.
• Assessed maternal and neonatal outcomes related to adverse conditions.
• Examined the mediating role of placenta previa in influencing outcomes.
• Higher numbers of previous caesarean sections linked to increased maternal adverse outcomes.
• Neonatal outcomes were more dependent on gestational age rather than prior caesarean sections.
• Placenta previa mediated the relationship between caesarean section history and complications.