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Association of peripartum management and high maternal blood loss at cesarean delivery for placenta accreta spectrum (PAS): A multinational database study.

Alexander PapingHeleen van BeekhuizenCharline BertholdtKarin Anneliese FoxGilles KayemOlivier MorelMarcus J RijkenVedran StefanovicGita StrindforsAlexander WeichertKatharina WeizsaeckerThorsten Braunnull null
Published in: Acta obstetricia et gynecologica Scandinavica (2021)
In pregnant women with PAS, the likelihood of blood loss >3500 ml was reduced in planned vs unplanned cesarean delivery, and when the surgery was performed by a specialist experienced in the management of PAS. This reinforces the necessity of delivery by an expert team. Conservative management was also associated with less blood loss, but only if successful. Therefore, careful patient selection is of great importance. Our study showed no consistent benefit of other adjunct measures such as arterial occlusion techniques, uterotonics or tranexamic acid.
Keyphrases
  • palliative care
  • pregnant women
  • coronary artery disease
  • atrial fibrillation
  • quality improvement
  • acute coronary syndrome
  • clinical practice
  • birth weight
  • preterm birth