ABSTRACT 
Background: Placenta accreta spectrum (PAS) no longer uncommon in daily obstetrics practice. Incidence of PAS has
increased because of cesarean section pandemic. It is accompanied by acute maternal morbidity and mortality and
long-term complications.  Regarding long-term consequences and quality of life (Qol), little evidence is available.
Objective: The aim of the current work was to evaluate short form (SF)-36 survey in women with PAS.
Patients and methods: A total of 80 women with confirmed diagnosis of PAS were recruited in the study. This study
was conducted in Women Health Center, Assiut University, which is a tertiary care unit, between 2020 and 2021. The
participants were subjected to thorough clinical and obstetric evaluation. SF-36 score was measured in those patients
after 6-8 weeks and 12 months postpartum. 
Results: Mean age of enrolled women was 30.86 (SD 4.68) years with range between 21 and 40 years old. A total of
12 (15%) women were complicated by hysterectomy, 23(28.7%) with bladder injury while just 2 (2.7%) with ureteric
injury. Women with complications had significantly lower baseline vitality and general health and higher baseline
bodily pain higher follow up bodily pain and role of limitation (emotional). Yet, in each separate all domains of SF-36
during follow up. Conclusion: Women after a pregnancy complicated by PAS had significant improvement in SF-36
domains after 1 year follow up. Domains of SF-36 weren’t greatly affected by complications of PAS. Affection of
patient quality of life following PAS should be in consideration.
Keywords: PAS, Qol, Questionnaire, Hysterectomy, SF-36.