Outcomes Following a Clinical Algorithm Allowing for Delayed Hysterectomy in the Management of Severe Placenta Accreta Spectrum
Lisa C. Zuckerwise, Amanda M. Craig, J.M. Newton, Sifang Kathy Zhao, K.A. Bennett, Marta A. Crispens
Abstract
( Am J Obstet Gynecol . 2020;222:179.e1–179.e9) Placenta accreta spectrum (PAS) is a major risk factor for maternal injury and death, with an estimated morbidity rate of 24% to 67% and an estimated mortality rate of up to 7%. The current recommendations for treatment of PAS focus on immediate cesarean hysterectomy, but given the significant morbidity of PAS, new treatment strategies are needed. This study assessed the outcomes of patients with an antenatal diagnosis of placenta percreta that was managed with delayed hysterectomy versus patients who had an immediate cesarean hysterectomy.
Topics & Concepts
MedicinePlacenta accretaHysterectomyPlacenta PercretaObstetricsMaternal morbidityPlacentaMaternal deathPregnancyGynecologySurgeryFetusPopulationEnvironmental healthBiologyGeneticsMaternal and fetal healthcareMaternal and Perinatal Health InterventionsEctopic Pregnancy Diagnosis and Management