{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:27:31Z","timestamp":1788481651882,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the management and maternal outcomes of placenta accreta spectrum (<jats:styled-content style=\"fixed-case\">PAS<\/jats:styled-content>) disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was conducted of patients diagnosed with <jats:styled-content style=\"fixed-case\">PAS<\/jats:styled-content> disorders (placenta creta, increta, or percreta) who were treated at a <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> tertiary care center between February 1, 2011, and January 31, 2016. Obstetric management, anesthetic management, and maternal outcomes were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 43 cases were identified; placenta previa was diagnosed among 33 (77%). Median age was 33\u00a0years (range 23\u201342). Median blood loss was 1500\u00a0<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> (interquartile range 1000\u20132500); blood loss was greatest among the 10 patients with placenta percreta (3250\u00a0<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>, interquartile range 2200\u20136000). Transfusion of blood products was necessary among 14 (33%) patients, with no difference in frequency according to the degree of placental invasion (<jats:italic>P=<\/jats:italic>0.107). Surgical complications occurred among 10 (23%) patients. Overall, 30 (70%) patients received combined spinal\u2013epidural plus general anesthesia, 4 (9%) received only general anesthesia, and 9 (21%) underwent surgery with combined spinal\u2013epidural anesthesia. One patient experienced difficult airway and another experienced accidental dural puncture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Placenta previa and accreta coexist in many patients, leading to substantial bleeding related to the degree of myometrial invasion. An interdisciplinary team approach plus the use of combined spinal\u2013epidural anesthesia, transitioning to general anesthesia, were advisable and safe.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12366","type":"journal-article","created":{"date-parts":[[2017,10,28]],"date-time":"2017-10-28T11:12:34Z","timestamp":1509189154000},"page":"370-374","source":"Crossref","is-referenced-by-count":22,"title":["Retrospective analysis of obstetric and anesthetic management of patients with placenta accreta spectrum disorders"],"prefix":"10.1002","volume":"140","author":[{"given":"Efrain","family":"Riveros\u2010Perez","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine Medical College of Georgia at Augusta University  Augusta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Colorado School of Medicine  Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.074"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.12.037"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.11.018"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02976.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200610000-00046"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-017-4528-0"},{"key":"e_1_2_7_8_1","first-page":"84","article-title":"Multidisciplinary approach to the management of placenta accreta","volume":"11","author":"Russo M","year":"2011","journal-title":"Ochsner J"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70582-9"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2005.00727.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02037.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199702000-00002"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198904000-00009"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13831"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182051db2"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2010.25.4.651"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.176.6.1761521"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1326924"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-005-0023-2"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.08.001"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2010.09.012"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12075"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.02.016"},{"key":"e_1_2_7_24_1","doi-asserted-by":"crossref","first-page":"513","DOI":"10.4103\/0019-5049.163002","article-title":"Anaesthesiologist's role in the multidisciplinary approach to placenta percreta","volume":"59","author":"Dhansura T","year":"2015","journal-title":"Indian J Anaesth"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000786"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2011.06.001"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2015.05.005"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12366","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T02:11:52Z","timestamp":1695694312000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,23]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1002\/ijgo.12366"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12366","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,23]]}}}