Songkhla Nakarin news

Songklanagarind Hospital received the first disease-specific accreditation (DSC) in Thailand for placenta accreta treatment

“People may think that caesarean section should not cause any complications, but in fact it does. During caesarean section, patients may hemorrhage more than during natural delivery, and in future pregnancies, the patient may experience severe complications, such as placenta accreta, associated with an increased risk of severe bleeding. In that case, hysterectomy is required to control the life-threatening bleeding.”

       Assoc. Prof. Savitree Pranpanus, MD, Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Head of the PSU PAS Team, explained that placenta accreta is the abnormal adhesion of the placenta to the uterus, particularly in the uterine muscle layer. This condition may occur in pregnancy after delivery. Surgical removal of the embedded placenta may cause the patient to bleed excessively, and it may result in shock and death. The frequency of cesarean sections in a patient may correlate with a higher chance of placenta accreta.


       The condition is increasingly prevalent, nearly twenty times that of the past, due to the increasing administration of c-sections. Songklanagarind Hospital found that placenta accreta occurs at a rate of one in a hundred deliveries. As the only hospital in the south that volunteers to treat patients with this condition, Songklanagarind Hospital receives placenta accreta referrals from 14 southern provinces, contributing to the high number of patients at the facility.


       To manage these issues, a team was organized and a center was established in 2016 to provide multidisciplinary patient care, and to develop periodical guidelines for diagnosis, treatment, and postoperative care.


To ensure they provide the most effective treatment process, the hospital applied for certification of Disease Specific Standard (DSC). To achieve certification, medical teams continually improve their work methods, provide clear and effective treatment patterns, and improve teamwork. Patients have confidence that they receive the best standard treatment. As a result, feedback from patients and networking hospitals was positive, and Songklanagarind Hospital has become the first hospital in Thailand with disease-specific standard accreditation for placenta accreta care, by the Healthcare Accreditation Institute.