Improved maternal outcome in placenta accreta spectrum disorders: a single-institute observational cohort study.

ABSTRACT:

Background

To describe the evolution and outcomes of protocol-orientated multidisciplinary quality improvement for clinically confirmed placenta accreta spectrum (PAS) disorders mainly receiving uterine preservation.

Methods

This single-institute, retrospective cohort study compared clinical outcomes of patients within three periods of 2013-2016 (initial period), 2017-2019 (transition period), and 2020-2023 (current period) during January 1st, 2013, to December 31st ,2023. The quality improvement elements were introduced mainly in the transition period, including optimization of peripartum care, prenatal diagnosis, surgical plan and preparation of autologous blood products. The primary outcomes included early composite maternal morbidity and uterine preservation rate. Meanwh

SUBMITTER: Zhou H 

PROVIDER: S-EPMC12625699 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature