{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T13:06:47Z","timestamp":1789391207525,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012023","name":"Stichting Sanquin Bloedvoorziening","doi-asserted-by":"publisher","award":["13\u2010RvB\u201003"],"award-info":[{"award-number":["13\u2010RvB\u201003"]}],"id":[{"id":"10.13039\/501100012023","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study reports maternal outcomes in women with risk factors for placenta accreta spectrum disorder (PAS) with cesarean section on the scheduled date and before in a setting where the intention was to wait at least until 36\u2009weeks of gestation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a descriptive analysis using data from a retrospective nationwide cohort study, including 513 women with risk factors for PAS (placenta previa + history of one or more cesarean section) with or without abnormal ultrasonography, conducted across 69 Dutch hospitals. The main outcome measure was the total volume of perioperative blood loss (mL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of all 513 women, 237 women (46%) underwent cesarean section on the scheduled date, while 276 women (54%) had a cesarean section before the scheduled date. Among these 276, 88 (32%) occurred in a controlled, semi\u2010urgent setting and 188 (68%) in an emergency setting; blood loss was the most common indication. Median blood loss was 900\u2009mL (interquartile range [IQR] 500\u20132000) in women with a cesarean section on the scheduled date, compared to 1000\u2009mL (IQR 600\u20132500) in those who underwent cesarean section before the scheduled date. Of 353 women with a cesarean section scheduled at 37\u2009weeks or later, 101 (29%) underwent the procedure in an emergency setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In women with risk factors for PAS, the timing of scheduled cesarean section later than 36\u2009weeks did not show an evident increase in adverse maternal outcomes (perioperative blood loss, red blood cell transfusion and intensive care unit admission). Given the heterogeneity of PAS and the descriptive nature of this study, these findings should be interpreted with caution. Individualized timing of cesarean section remains essential, taking into account PAS severity and available resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71324","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T12:44:22Z","timestamp":1789389862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Timing of cesarean section in women with risk factors for placenta accreta spectrum disorder and maternal outcomes: A descriptive study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2846-6243","authenticated-orcid":false,"given":"Lisanne R.","family":"Bonsen","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Leiden University Medical Centre  Leiden the Netherlands"},{"name":"Department of Clinical Epidemiology Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3124-3770","authenticated-orcid":false,"given":"Valerie","family":"Harskamp","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9890-9145","authenticated-orcid":false,"given":"Thomas","family":"van den Akker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Leiden University Medical Centre  Leiden the Netherlands"},{"name":"Athena Institute VU University  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9095-2475","authenticated-orcid":false,"given":"Johanna G.","family":"van der Bom","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3164-8611","authenticated-orcid":false,"given":"Dacia D. C. A.","family":"Henriquez","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Leiden University Medical Centre  Leiden the Netherlands"},{"name":"Department of Obstetrics and Gynecology Amphia Hospital  Breda the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.2147\/IJWH.S224191","article-title":"Placenta accreta spectrum disorders: challenges, risks, and management strategies","volume":"12","author":"Morlando M","year":"2020","journal-title":"Int J Women's Health"},{"issue":"2","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1097\/AOG.0000000000002442","article-title":"Outcomes of planned compared with urgent deliveries using a multidisciplinary team approach for morbidly adherent placenta","volume":"131","author":"Shamshirsaz 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