A multicenter observational survey of management strategies in 442 pregnancies with suspected placenta accreta spectrum.

ABSTRACT:

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

SUBMITTER: van Beekhuizen HJ 

PROVIDER: S-EPMC8048500 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature