CoChat
Sign Up
Cited by 67Maternal and fetal healthcareBlood transfusion and managementMaternal and Perinatal Health Interventions

Association of Implementing a Multidisciplinary Team Approach in the Management of Morbidly Adherent Placenta With Maternal Morbidity and Mortality

Bartels, Helena C., Rogers, Ailin C., O’Brien, Donal, McVey, Ruaidhri, Walsh, Jennifer, Brennan, Donal J.·2018·Obstetrics & Gynecology
DOI 10.1097/aog.0000000000002865
Open this paper in CoChat — free account

Abstract

OBJECTIVE: To compare maternal outcomes in patients with morbidly adherent placenta managed in a multidisciplinary team setting compared with standard care. DATA SOURCES: A literature search was performed for publications reporting multidisciplinary pathways in the management of cesarean delivery for patients with morbidly adherent placenta. EMBASE, MEDLINE, PubMed, PubMed Central, ClinicalTrials.gov, and Cochrane databases were searched. METHODS OF STUDY SELECTION: Databases were searched for studies reporting maternal morbidity of patients with morbidly adherent placenta managed by a multidisciplinary team in a specialist center compared with standard care. Two independent reviewers applied inclusion and exclusion criteria to select included articles, with differences agreed by consensus. A total of 252 citations were reviewed; six studies comprising 461 patients were selected for the analysis. TABULATION, INTEGRATION, AND RESULTS: Literature search was performed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results were reported as mean differences or pooled odds ratios (ORs) with 95% CIs. Estimated blood loss was significantly reduced in the multidisciplinary team group (mean difference −1.1 L, 95% CI −1.9 to −0.4, P=.004) and these patients had lower transfusion requirements (mean difference −2.7 units, 95% CI −4.1 to −1.2, P=.040). Those treated in a standard care setting were more likely to develop complications (OR 2.5, 95% CI 1.5–4.0, P<.001); however, there was no difference in length of stay between the two groups. CONCLUSION: This meta-analysis highlights the improved maternal outcomes in patients with morbidly adherent placenta when managed by a multidisciplinary team in a specialist center. High-risk complex cases warrant expert management in centralized units.

Integrity signals

Registry

Crossref · 10.1097/aog.0000000000002865

Cites

29 of 29 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Clinical outcomes are often not related to disease severity but to other factors such as emergency delivery, clinician consideration of parity, preferences, and future fertility plans.

    “clinical outcomes are often not related to disease severity, but to other factors such as emergency delivery, as well as clinician consideration of the woman’s parity, her preferences and future fertility plans [3, 41]”

    From Radiomics-based prediction of FIGO grade for placenta accreta spectrum (2023) · cites this paper as [3]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Bartels, H. C., Rogers, A. C., O’Brien, D., McVey, R., Walsh, J., & Brennan, D. J.
Affiliations
University College Dublin (IE)
ORCID
Venue
Obstetrics & Gynecology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-11
Volume
132
Issue
5
Pages
1167-1176
ISSN
  • 0029-7844 (ISSN-L)
  • 1873-233X
DOI
10.1097/aog.0000000000002865
OpenAlex
W2895332166
Cited by
67
References
29
Citations by year
2026: 6 · 2025: 7 · 2024: 12 · 2023: 13 · 2022: 10 · 2021: 7 · 2020: 10 · 2019: 2
FWCI
5.28
Type
journal article
Language
en
Open access
closed
Locations
  • Obstetrics and Gynecology (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 › Maternal and Perinatal Health Interventions
Keywords
placenta accreta spectrum, multidisciplinary care, maternal morbidity, maternal mortality, cesarean section, blood loss, blood transfusion, high-risk obstetric care, length of hospital stay
MeSH terms
Blood Transfusion, Blood Volume, Female, Hemorrhage, Humans, Patient Care Team, Pregnancy, Placenta, Retained, Tertiary Care Centers

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review