Association of peripartum management and high maternal blood loss at cesarean delivery for placenta accreta spectrum (PAS): a multinational database study

ConclusionsIn pregnant women with PAS, the likelihood of blood loss> 3500ml was reduced in planned vs. unplanned cesarean delivery, and when the surgery was performed by a specialist experienced in the management of PAS. This reinforces the necessity of delivery by an expert team. Conservative management was also associated with lower blood loss, but only if successful. Therefore, careful patient selection is of high importance. Our study showed no consistent benefit of other adjunct measures, such as arterial occlusion techniques, uterotonics, and tranexamic acid.

https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/aogs.14103?af=R

Source: Acta Obstetricia et Gynecologica Scandinavica - February 1, 2021 Category: OBGYN Authors: Alexander Schwickert, Heleen J. van Beekhuizen, Charline Bertholdt, Karin A. Fox, Gilles Kayem, Olivier Morel, Marcus J. Rijken, Vedran Stefanovic, Gita Strindfors, Alexander Weichert, Katharina Weizsaecker, Thorsten Braun, The International S Tags: ORIGINAL RESEARCH ARTICLE Source Type: research