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Updated: Aug 23, 2025

Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Placenta Accreta Spectrum: A 2-year Retrospective Observational Study.

A Hania1, C Harnett1, J Morrison1

  • 1Department of Anaesthesiology and Critical Care Medicine, University Hospital Galway.

Irish Medical Journal
|October 27, 2022
PubMed
Summary
This summary is machine-generated.

Management of placenta accreta spectrum disorders, a condition with increasing incidence, involves multidisciplinary teams and adherence to guidelines. This study highlights successful outcomes with interventions like iliac artery balloon occlusion, emphasizing improved patient care.

Keywords:
Placenta Accreta Spectrum

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Placenta Accreta Spectrum (PAS) disorders are increasingly prevalent.
  • PAS is associated with significant maternal morbidity and mortality.

Purpose of the Study:

  • To evaluate the management and outcomes of PAS disorders.
  • To emphasize key management recommendations from international guidelines.

Main Methods:

  • Retrospective audit of nine PAS cases from January 2018 to December 2019.
  • Analysis of management strategies including caesarean section, hysterectomy, and bilateral iliac artery balloon occlusion.

Main Results:

  • Eight-nine percent of cases utilized bilateral iliac artery balloon occlusion.
  • Median estimated blood loss was 1700 mL, with 67% requiring intraoperative red blood cell transfusion.
  • No maternal deaths occurred, and all cases involved multidisciplinary teams.

Conclusions:

  • Implementing national guidelines for PAS management can improve patient outcomes.
  • Multidisciplinary team involvement is crucial for successful PAS management.