Placenta accreta spectrum—A single‐center retrospective observational cohort study of multidisciplinary management over time

Autor: Alice Uddén, Ylva Carlsson, Ove Karlsson, Ralph Peeker, Teresia Svanvik
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Gynecology & Obstetrics. 159:270-278
ISSN: 1879-3479
0020-7292
DOI: 10.1002/ijgo.14285
Popis: To evaluate whether the results of a previous study that showed a decrease in blood loss and transfusions with a multidisciplinary approach, including a fixed team when delivering women diagnosed with placenta accreta spectrum at Sahlgrenska University Hospital, remained low throughout time, and to investigate hospital stay and maternal and neonatal complications during a time period with varying team structure compared with previous periods.A retrospective observational cohort study comparing data from medical records including three cohorts of women diagnosed with placenta accreta spectrum between October 2003 and December 2020. Cohort 1 consisted of women delivered before the multidisciplinary approach was introduced. Cohort 2 and cohort 3 were both managed in a multidisciplinary manner, but while cohort 2 was managed by a fixed team, cohort 3 was managed by several different senior specialists. The data were analyzed using Kruskal-Wallis test.Blood loss and need for transfusion were significantly lower for cohort 3 and cohort 2 compared with cohort 1. No significant difference was found between cohort 3 and cohort 2.The multidisciplinary management and surgical method employed at Sahlgrenska University Hospital have lowered blood loss and the need for transfusions, even over time.
Databáze: OpenAIRE
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