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Updated: Jul 17, 2025

Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
04:08

Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes

Published on: June 27, 2025

82

Society for Maternal-Fetal Medicine Special Statement: Emergency checklist, planning worksheet, and system

, Brett D Einerson, Andrew J Healy

    American Journal of Obstetrics and Gynecology
    |September 7, 2023
    PubMed

    Placenta accreta spectrum is a life-threatening complication of pregnancy that is underdiagnosed and can result in massive hemorrhage, disseminated intravascular coagulation, massive transfusion, surgical injury, multisystem organ failure, and even death. Given the rarity and complexity, most obstetrical hospitals and providers do not have comprehensive expertise in the diagnosis and management of placenta accreta spectrum. Emergency management, antenatal interdisciplinary planning, and system preparedness are key pillars of care for this life-threatening disorder. We present an updated sample checklist for emergent and unplanned cases, an antenatal planning worksheet for known or suspected cases, and a bundle of activities to improve system and team preparedness for placenta accreta spectrum.

    Keywords:
    algorithmsblood transfusionclinical decision supportdisseminated intravascular coagulationhysterectomymassive transfusion protocolpatient safetyplacenta diseasesplacenta incretaplacenta percretapostpartum hemorrhage

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