{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:44:39Z","timestamp":1786977879708,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Placenta accreta spectrum (PAS) is a high\u2010risk complication of pregnancy, which often requires complex surgical intervention. There is limited literature on the patient experience during the perioperative period and postpartum pain management for PAS. Therefore, this study aims to explore the patient perspective of anesthesia care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ethical approval was granted by the hospital ethics committee (EC02.2023). This was a descriptive survey study, including women with a history of pregnancy complicated by PAS who were members of two patient advocacy groups. The survey, consisting of both open and closed questions, was performed over a 6\u2010week period between January and March 2023. Content analysis was performed on qualitative data to identify themes, and recommendations for care are suggested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 347 participants responded to the survey; 76% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009252) had a cesarean hysterectomy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009252), and general anesthesia was the most common primary mode of anesthesia (39%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009130). We identified two overarching themes: experiences of anesthesia and experience of postpartum pain management. Under experiences of anesthesia, three subthemes were identified, namely \u201ccommunication with the anesthesiologist\u201d, \u201cdeferring to the expertise of the team\u201d, and \u201cconsequences of decision around the mode of anesthesia.\u201d Under postpartum pain management, two subthemes emerged: \u201csupport of specialist PAS team\u201d and \u201cpoor pain management following PAS surgery\u201d.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women want to be involved in decisions around their care, but do not always understand the consequences of their decision\u2010making, such as missing the birth of their child. An antenatal anesthesiology consultation is important to provide women with information, explore preferences, and develop a plan of care for the birth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15125","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T08:14:15Z","timestamp":1695111255000},"page":"992-1000","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Anesthesia and postpartum pain management for placenta accreta spectrum: The patient perspective and recommendations for care"],"prefix":"10.1002","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6470-9364","authenticated-orcid":false,"given":"Helena C.","family":"Bartels","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, School of Medicine University College Dublin, National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan G.","family":"Lalor","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Trinity College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albaro Jos\u00e9","family":"Nieto\u2010Calvache","sequence":"additional","affiliation":[{"name":"Clinica de Espectro de Acretismo Placentario Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Terlizzi","sequence":"additional","affiliation":[{"name":"National Accreta Foundation  Saratoga California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Cooney","sequence":"additional","affiliation":[{"name":"Placenta Accreta Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Miguel","family":"Palacios\u2010Jaraquemada","sequence":"additional","affiliation":[{"name":"Hospital Universitario de CEMIC  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doireann","family":"O'Flaherty","sequence":"additional","affiliation":[{"name":"Department of Obstetric Anaesthesiology Coombe Women's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siaghal","family":"MacColgain","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"ffrench\u2010O'Carroll","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donal J.","family":"Brennan","sequence":"additional","affiliation":[{"name":"University College Dublin Gynaecological Oncology Group (UCD\u2010GOG) Mater Misericordiae University Hospital and St Vincent's University Hospital  Dublin 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BartelsAH CooneyN BrennanDJ LalorJG.Living with a diagnosis of placenta accreta spectrum: mothers' and fathers' experience of the antenatal journey and the birth.2022. doi:10.21203\/rs.3.rs-1372267\/v1","DOI":"10.21203\/rs.3.rs-1372267\/v1"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.12.013"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.09.014"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo15096"}],"container-title":["International Journal of Gynecology &amp; 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