A multicenter observational survey of management strategies in 442 pregnancies with suspected placenta accreta spectrum
| Autor: | Beekhuizen, Heleen, Stefanovic, Vedran, Schwickert, Alexander, Henrich, Wolfgang, Fox, Karin, Mhallem Gziri, Mina, Sentilhes, Loïc, Gronbeck, Lene, Chantraine, Frederic, Morel, Oliver, Bertholdt, Charline, Braun, Thorsten, Rijken, Marcus, Duvekot, Johannes, Calda, Pavel, Chalubinski, Kinga, Collins, Sally, Martinelli, Pasquale, Morlando, Maddalena, Nonnenmacher, Andreas, Paavonen, Jorma, Pateisky, Petra, PETIT, Philippe, Ropacka, Mariola, Tikkanen, Minna, Tutschek, Boris, Weichert, Alexander, Weizsäcker, Katharina von |
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| Přispěvatelé: | Erasmus University Medical Center [Rotterdam] (Erasmus MC), University of Helsinki, Charité - UniversitätsMedizin = Charité - University Hospital [Berlin], Baylor College of Medecine, Cliniques Universitaires Saint-Luc [Bruxelles], CHU Bordeaux [Bordeaux], University of Copenhagen = Københavns Universitet (KU), Centre Hospitalier Universitaire de Liège (CHU-Liège), Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Service d'Obstétrique et de Gynécologie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), University Medical Center [Utrecht], UCL - SSS/IREC - Institut de recherche expérimentale et clinique, UCL - (SLuc) Service d'obstétrique, Obstetrics and Gynaecology, HUS Gynecology and Obstetrics, Department of Obstetrics and Gynecology, Helsinki University Hospital Area, Gynecological Oncology, Obstetrics & Gynecology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Placenta accreta medicine.medical_treatment Obstetric Surgical Procedures Prenatal diagnosis Hemorrhage Placenta Accreta [SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine Conservative Treatment Hysterectomy 03 medical and health sciences placenta accreta spectrum 0302 clinical medicine 3123 Gynaecology and paediatrics Pregnancy Placenta Original Research Articles medicine [INFO.INFO-IM]Computer Science [cs]/Medical Imaging Humans 030212 general & internal medicine Original Research Article ComputingMilieux_MISCELLANEOUS Patient Care Team Laparotomy 030219 obstetrics & reproductive medicine cesarean section business.industry Obstetrics Vaginal delivery Obstetrics and Gynecology Gestational age Abortion Induced General Medicine medicine.disease 3. Good health Placenta previa abnormal invasive placenta medicine.anatomical_structure postpartum hemorrhage Female business [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica Acta Obstetricia et Gynecologica Scandinavica, Wiley, 2021, 100 (S1), pp.12-20. ⟨10.1111/aogs.14096⟩ Acta obstetricia et gynecologica Scandinavica, Vol. 100 Suppl 1, no.100, p. 12-20 (2021) Acta obstetricia et gynecologica Scandinavica, 100, 12-20. Wiley-Blackwell Acta Obstetricia et Gynecologica Scandinavica, 100(S1), 12-20. Wiley-Blackwell |
| ISSN: | 0001-6349 1600-0412 |
| DOI: | 10.1111/aogs.14096⟩ |
| Popis: | INTRODUCTION: Management options for women with placenta accreta spectrum (PAS) comprise termination of pregnancy before the viable gestational age, leaving the placenta in situ for subsequent reabsorption of the placenta or delayed hysterectomy, manual removal of placenta after vaginal delivery or during cesarean section, focal resection of the affected uterine wall, and peripartum hysterectomy. The aim of this observational study was to describe actual clinical management and outcomes in PAS in a large international cohort. MATERIAL AND METHODS: Data from women in 15 referral centers of the International Society of PAS (IS-PAS) were analyzed and correlated with the clinical classification of the IS-PAS: From Grade 1 (no PAS) to Grade 6 (invasion into pelvic organs other than the bladder). PAS was usually diagnosed antenatally and the operators performing ultrasound rated the likelihood of PAS on a Likert scale of 1 to 10. RESULTS: In total, 442 women were registered in the database. No maternal deaths occurred. Mean blood loss was 2600 mL (range 150-20 000 mL). Placenta previa was present in 375 (84.8%) women and there was a history of a previous cesarean in 329 (74.4%) women. The PAS likelihood score was strongly correlated with the PAS grade (P |
| Databáze: | OpenAIRE |
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