International survey of practices used in the diagnosis and management of placenta accreta spectrum disorders
Open accessAbstract
Objective: To identify geographic differences in diagnostic and treatment practices during the perinatal management of placenta accreta spectrum (PAS) disorders. Methods: An online survey was conducted from May 1 to August 1, 2017. The 18‐item questionnaire was emailed to all members of the expert panel for the 2018 International Federation of Gynecology and Obstetrics consensus guidelines on PAS (n=34), as well as international experts who had contributed to the content of these guidelines (n=16). Results: Questionnaires were returned by 36 of the 50 experts (72% response rate). Most respondents were from Europe (n=22; 61%) or Asia (n=9; 25%). Despite large disparity in the number of patients with PAS disorders managed surgically or conservatively (range from 0 to >1000) and the different techniques used by the respondents, the screening and diagnostic methods used were similar, with transvaginal imaging used by 31 (86%) experts, and both ultrasonography and magnetic resonance imaging used by 22 (61%). In all, 22 (61%) experts indicated a preference for radical surgery, with primary cesarean hysterectomy leaving the placenta in situ reported as the most frequent approach (n=20; 55%). Conclusion: Wide variation found in global PAS practices indicated a need for standardized data and an evidence‐based approach to the diagnosis and management of PAS disorders.
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A recent online survey completed by members of the expert panel for the perinatal management of placenta accreta spectrum disorders for FIGO has found wide variation in global practices.
“Similarly, a recent online survey completed by members of the expert panel for the perinatal management of placenta accreta spectrum disorders for the International Federation of Gynecology and Obstetrics (FIGO) has found wide variation in global practices.161”
From Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green‐top Guideline No. 27a (2019) · cites this paper as [161]
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References 19 · Cited by 48
- Authors
- Cal, M., Ayres‐de‐Campos, D., & Jauniaux, E.
- Affiliations
- Hospital de Santa Maria (PT)
- University of Lisbon (PT)
- University College London (GB)
- Corresponding author
- Jauniaux, Eric
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2017-12-22
- Volume
- 140
- Issue
- 3
- Pages
- 307-311
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2768712445
- Cited by
- 48
- References
- 19
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 8 · 2021: 9 · 2020: 8 · 2019: 5 · 2018: 3
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- green
- discovery.ucl.ac.uk
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Biochemistry › Blood transfusion and management
- Keywords
- placenta accreta spectrum, diagnostic practices, management practices, perinatal care, radical hysterectomy, transvaginal ultrasound, magnetic resonance imaging, ultrasonography, screening, regional variation, expert consensus
- MeSH terms
- Conservative Treatment, Adult, Cesarean Section, Female, Humans, Hysterectomy, Magnetic Resonance Imaging, Middle Aged, Obstetrics, Practice Patterns, Physicians', Placenta Accreta, Pregnancy, Surveys and Questionnaires, Ultrasonography, Prenatal
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