Obstetric anesthesia

Improving blood product management in placenta accreta patients with severe bleeding: institutional experience

Int J Obstet AnesthPublished Retrospective cohort study

Authors' conclusion

Given no significant morbidity or mortality, clinical judgment in experienced centers appears safe for the management of PAS patients undergoing CS.

Study context

Population
Patients with placenta accreta spectrum (placenta accrete spectrum (PAS)) undergoing cesarean section, 2012–2018
Participants
221 patients
Exposure
Severe bleeding vs bleeding managed as uncomplicated cesarean section (CS)
  • Group 1n = 133
  • Group 2n = 88reference
Outcome
Peri-operative outcomes
Methodological detailschart review, single-centre
  • Chart review
  • Single-centre

Main finding

As reported in the abstract

Deaths

0

Disseminated intravascular coagulation

0

ICU admission

five cases (2.2%)

Observational data: associations, not effects.

Original publication

Improving blood product management in placenta accreta patients with severe bleeding: institutional experience. Int J Obstet Anesth. Published 8 June 2023. doi:10.1016/j.ijoa.2023.103904

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