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Cited by 22Maternal and fetal healthcareBlood transfusion and managementPregnancy and preeclampsia studies

Maternal morbidity in placenta accreta spectrum following introduction of a multi-disciplinary service compared to standard care: an Irish perspective

Bartels, Helena C., Mulligan, Karen M., Craven, Simon, Rogers, Ailin C., Higgins, Shane, O’Brien, Donal J., McVey, Ruaidhri, McParland, Peter +10 more·2021·Irish Journal of Medical Science (1971 -)
DOI 10.1007/s11845-020-02473-3
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Abstract

Aim The purpose of this study is to compare maternal outcomes in patients with placenta accreta spectrum (PAS) when managed as part of a multi-disciplinary team (MDT) compared to standard care.Methods Patients in the standard care group were retrospectively identified from pathology records, with patients in the MDT group prospectively collected on an electronic database. Data on maternal demographics, delivery, estimated blood loss (EBL), transfusion requirements, and morbidity were recorded.Results Sixty patients were diagnosed with PAS between 2006 and 2019, of whom 32 were part of the standard care group and 28 in the MDT group. Compared to standard care, MDT care was associated with an increase in antenatal diagnosis from 56.3 to 92.9% (p < 0.0001), a significant reduction in EBL (4150 mL (800-19500) vs 1975 (495-8500), p < 0.0001), and transfusion requirements (median 7 (0-30) units of RCC vs 1 (0-13), p < 0.0001).Conclusion PAS is associated with significant maternal morbidity and warrants management in an MDT setting with specialist input, which is associated with improved outcomes.

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Crossref · 10.1007/s11845-020-02473-3

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  • MRI was read and reported by specialist radiologists with over 15 and 20 years of experience.

    “MRI, read and reported by specialist radiologists [22] (T.G., with over 15 years of experience; D.B., with over 20 years of experience).”

    From Radiomics-based prediction of FIGO grade for placenta accreta spectrum (2023) · cites this paper as [22]

  • Centres practicing conservative management with leaving the placenta in situ may have much lower hysterectomy rates compared to centres where hysterectomy is routinely performed for PAS cases.

    “centres practicing conservative management with leaving the placenta in situ may have much lower hysterectomy rates compared to centres where hysterectomy is routinely performed for PAS cases [22, 38]”

    From Radiomics-based prediction of FIGO grade for placenta accreta spectrum (2023) · cites this paper as [22]

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Authors
Bartels, H. C., Mulligan, K. M., Craven, S., Rogers, A. C., Higgins, S., O’Brien, D. J., McVey, R., McParland, P., Walsh, J. M., Carroll, S., Corcoran, S., Robson, M., Mahony, R., Downey, P., Brophy, D., Colleran, G., McAuliffe, F. M., & Brennan, D. J.
Affiliations
  • National Maternity Hospital (IE)
  • University College Dublin (IE)
Corresponding author
Brennan, Donal J.
ORCID
Venue
Irish Journal of Medical Science (1971 -)
Publisher
Springer Science and Business Media LLC
Published
2021-01-15
Volume
190
Issue
4
Pages
1451-1457
ISSN
  • 0021-1265 (ISSN-L)
  • 1863-4362
DOI
10.1007/s11845-020-02473-3
OpenAlex
W3124010361
Cited by
22
References
26
Citations by year
2026: 4 · 2025: 1 · 2024: 5 · 2023: 8 · 2022: 3
FWCI
3.95
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Irish Journal of Medical Science (1971 -) (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Biochemistry › Blood transfusion and management
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Keywords
placenta accreta spectrum, maternal morbidity, multidisciplinary care, prenatal diagnosis, estimated blood loss, blood transfusion, obstetric hemorrhage, standard of care comparison
MeSH terms
Blood Transfusion, Cesarean Section, Female, Humans, Hysterectomy, Placenta Accreta, Pregnancy, Prenatal Diagnosis, Retrospective Studies

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