The role of pharmacists and pharmacy team members in the prevention, preparedness, response and recovery of outbreaks - a global rapid systematic review.

During the postpartum period, the likelihood of maternal depression and anxiety rises due to emerging psychosocial stressors and hormonal changes, such as the decline in estrogen levels []. Although no definitive connection has been established between cesarean section and postpartum depression [], there may be an association with emergency cesarean Sects [, ]. Antenatal depression in high-risk pregnancies has been reported to range from 12.5% to 44.2% across different studies []. Placenta accreta spectrum (PAS) has been on the rise over the years, largely due to the increasing rate of cesarean deliveries, its primary risk factor []. Hysterectomy is often unavoidable [], which can lead to psychological and emotional challenges, in addition to other postpartum issues that women may experience. A diagnosis of placenta accreta had a profound psychological effect on pregnant women. Over half of the women experienced high anxiety levels about morbidity, mortality, and future sexual activities, as indicated in a study by Crocetto et al. []. Additionally, a study involving 69 women, including 17 diagnosed with PAS, found that those with PAS were significantly more likely to meet the criteria for probable post-traumatic stress disorder (PTSD) compared to those who had an uncomplicated cesarean birth, with rates of 40% versus less than 10%, respectively []. In this study, our aim was to assess the quality of life and depression levels among patients with placenta accreta and those who had cesarean deliveries, and to compare these groups to determine the impact of PAS on their lives.