{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:30:35Z","timestamp":1792665035549,"version":"4.5.0"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives To evaluate the maternal and neonatal outcomes of expected and\n                    unexpected pathologically proven placenta accreta spectrum (PAS) cases in a\n                    single multidisciplinary center.<\/jats:p><jats:p>\n          Material and Methods This was a retrospective cohort study of 92 PAS cases\n                    from January 2011 until September 2021. Only cases with histopathologically\n                    invasive placentation were included in the study. The cases diagnosed at the\n                    time of delivery were defined as unexpected PAS (uPAS) and those diagnosed\n                    antenatally as expected PAS (ePAS). Maternal and neonatal outcomes of both\n                    groups were compared.<\/jats:p><jats:p>\n          Results Thirty-five (38%) of 92 cases were in the uPAS group.\n                    Placenta previa and high-grade PAS (percreata) were significantly higher in the\n                    ePAS group (p=0.028, p&lt;0.001; respectively). The mean packed red\n                    blood cell transfusion was significantly higher in the uPAS group\n                    (p=0.030) but transfusions of other blood products were similar in the\n                    two groups. There was no significant difference in intraoperative complication\n                    rates between the two groups. Preterm delivery (&lt;37 weeks) was\n                    significantly higher in the ePAS group (p&lt;0.001), but there was no\n                    significant difference between the two groups in terms of adverse neonatal\n                    outcomes.<\/jats:p><jats:p>\n          Conclusions Our single center data show that although ePAS cases include\n                    more highly invasive PAS cases, maternal hemorrhagic morbidity is lower than\n                    uPAS cases. Reducing maternal morbidity in PAS cases can be achieved by\n                    increasing antenatal diagnosis.<\/jats:p>","DOI":"10.1055\/a-1915-5832","type":"journal-article","created":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T00:02:20Z","timestamp":1663113740000},"page":"391-398","source":"Crossref","is-referenced-by-count":6,"title":["Expected Versus Unexpected Delivery for Placenta Accreta Spectrum\n                    (PAS) Disorders with Same Team in Single Tertiary Center"],"prefix":"10.1055","volume":"226","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8682-5537","authenticated-orcid":false,"given":"Hakan","family":"Golbasi","sequence":"additional","affiliation":[{"name":"University of Health Sciences Tepecik Training and Research Hospital,\n                    Department of Perinatology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6233-4207","authenticated-orcid":false,"given":"Burak","family":"Bayraktar","sequence":"additional","affiliation":[{"name":"University of Health Sciences Tepecik Training and Research Hospital,\n                    Department of Obstetrics and Gynecology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1844-1782","authenticated-orcid":false,"given":"Ceren","family":"Golbasi","sequence":"additional","affiliation":[{"name":"Tinaztepe University Faculty of Health Sciences, Department of\n                    Obstetrics and Gynecology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9200-0208","authenticated-orcid":false,"given":"Ibrahim","family":"Omeroglu","sequence":"additional","affiliation":[{"name":"University of Health Sciences Tepecik Training and Research Hospital,\n                    Department of Perinatology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9690-8819","authenticated-orcid":false,"given":"Baris","family":"Sever","sequence":"additional","affiliation":[{"name":"University of Health Sciences Tepecik Training and Research Hospital,\n                    Department of Perinatology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5307-8149","authenticated-orcid":false,"given":"Duygu","family":"Adiyaman","sequence":"additional","affiliation":[{"name":"University of Health Sciences Tepecik Training and Research Hospital,\n                    Department of Perinatology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1830-8831","authenticated-orcid":false,"given":"Seyda","family":"Kayhan Omeroglu","sequence":"additional","affiliation":[{"name":"University of Health Sciences Suat Seren Chest Diseases and Surgery\n                    Training and Research Hospital, Department of Anesthesia and Reanimation, Izmir,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4712-3927","authenticated-orcid":false,"given":"Atalay","family":"Ekin","sequence":"additional","affiliation":[{"name":"University of Health Sciences Tepecik Training and Research Hospital,\n                    Department of Perinatology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4552-9042","authenticated-orcid":false,"given":"Mehmet","family":"\u00d6zeren","sequence":"additional","affiliation":[{"name":"University of Health Sciences Tepecik Training and Research Hospital,\n                    Department of Perinatology, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1016\/j.placenta.2008.04.008","article-title":"Pathophysiology of placenta creta: the role of decidua and extravillous\n                    trophoblast","volume":"29","author":"P Tantbirojn","year":"2008","journal-title":"Placenta"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1097\/AOG.0b013e3182051db2","article-title":"Maternal morbidity in cases of placenta accreta managed by a multidisciplinary\n                    care team compared with standard obstetric care","volume":"117","author":"A G Eller","year":"2011","journal-title":"Obstet Gynecol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/s0002-9378(97)70463-0","article-title":"Clinical risk factors for placenta previa-placenta accreta","volume":"177","author":"D A Miller","year":"1997","journal-title":"Am J Obstet Gynecol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.ajog.2019.01.233","article-title":"Prevalence and main outcomes of placenta accreta spectrum: a systematic review\n                    and meta-analysis","volume":"221","author":"E Jauniaux","year":"2019","journal-title":"Am J Obstet Gynecol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1080\/01443615.2021.1887110","article-title":"Placenta accreta spectrum disorders \u2013 detection rate and maternal\n                    outcomes following implementation of an institutional protocol","volume":"42","author":"P Karkhanis","year":"2022","journal-title":"J Obstet Gynaecol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.ajog.2004.12.074","article-title":"Abnormal placentation: twenty-year analysis","volume":"192","author":"S Wu","year":"2005","journal-title":"Am J Obstet Gynecol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1226","DOI":"10.1097\/01.AOG.0000219750.79480.84","article-title":"Maternal morbidity associated with multiple repeat cesarean deliveries","volume":"107","author":"R M Silver","year":"2006","journal-title":"Obstet Gynecol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1111\/1471-0528.12405","article-title":"The management and outcomes of placenta accreta, increta, and percreta in the\n                    UK: a population-based descriptive study","volume":"121","author":"K E Fitzpatrick","year":"2014","journal-title":"BJOG"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.ajog.2014.08.019","article-title":"Maternal morbidity in patients with morbidly adherent placenta treated with and\n                    without a standardized multidisciplinary approach","volume":"212","author":"A A Shamshirsaz","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1002\/uog.20207","article-title":"Diagnosis of placenta accreta spectrum using ultra-high-frequency probe and\n                    superb microvascular imaging","volume":"54","author":"J Hasegawa","year":"2019","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1016\/j.ejogrb.2019.09.021","article-title":"Ultrasound accuracy in prenatal diagnosis of abnormal placentation of posterior\n                    placenta previa","volume":"242","author":"A Garofalo","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1016\/j.ajog.2014.11.018","article-title":"Center of excellence for placenta accreta","volume":"212","author":"R M Silver","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/01443615.2021.1910638","article-title":"Intraoperative blood volume loss according to gestational age at delivery among\n                    pregnant women with placenta accreta spectrum (PAS): an 11-year experience in\n                    Songklanagarind Hospital","author":"N Maison","year":"2021","journal-title":"J Obstet Gynaecol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1097\/AOG.0b013e3181f3588d","article-title":"Effectiveness of timing strategies for delivery of individuals with placenta\n                    previa and accreta","volume":"116","author":"B K Robinson","year":"2010","journal-title":"Obstet Gynecol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1111\/1471-0528.15306","article-title":"Placenta praevia and placenta accreta: diagnosis and management: Green-top\n                    guideline No. 27a","volume":"126","author":"E Jauniaux","year":"2019","journal-title":"BJOG"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.1016\/j.jogc.2019.01.016","article-title":"Surgical management of the placenta accreta spectrum: an institutional\n                    experience","volume":"41","author":"C Mitric","year":"2019","journal-title":"J Obstet Gynaecol Can"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1002\/ijgo.12409","article-title":"FIGO consensus guidelines on placenta accreta spectrum disorders:\n                    nonconservative surgical management","volume":"140","author":"L Allen","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1002\/ijgo.12410","article-title":"FIGO consensus guidelines on placenta accreta spectrum disorders: conservative\n                    management","volume":"140","author":"L Sentilhes","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1055\/s-0040-1714676","article-title":"Planned versus unplanned delivery for placenta accreta spectrum","volume":"39","author":"M Fishel Bartal","year":"2022","journal-title":"Am J Perinatol"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1097\/AOG.0000000000000680","article-title":"Morbidly adherent placenta treatments and outcomes","volume":"125","author":"J L Bailit","year":"2015","journal-title":"Obstet Gynecol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1080\/14767058.2017.1395847","article-title":"Maternal and neonatal outcomes among scheduled versus unscheduled deliveries in\n                    women with prenatally diagnosed, pathologically proven placenta accreta","volume":"32","author":"K E Pettit","year":"2019","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.ajog.2019.05.035","article-title":"Maternal outcomes in unexpected placenta accreta spectrum disorders:\n                    single-center experience with a multidisciplinary team","volume":"221","author":"H Erfani","year":"2019","journal-title":"Am J Obstet Gynecol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1016\/j.ajog.2010.09.013","article-title":"Placenta accreta","volume":"203","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"2971","DOI":"10.1080\/14767058.2019.1676411","article-title":"Assessing the multidisciplinary team approaches to placenta accreta spectrum\n                    across five institutions within the University of California fetal Consortium\n                    (UCfC","volume":"34","author":"V M Fratto","year":"2021","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1111\/j.1471-0528.2008.02037.x","article-title":"Optimal management strategies for placenta accreta","volume":"116","author":"A G Eller","year":"2009","journal-title":"BJOG"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1097\/AOG.0b013e3181c4f12a","article-title":"Effect of predelivery diagnosis in 99 consecutive cases of placenta accreta","volume":"115","author":"C R Warshak","year":"2010","journal-title":"Obstet Gynecol"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1097\/AOG.0b013e318262e340","article-title":"Committee opinion no. 529: placenta accreta","volume":"120","year":"2012","journal-title":"Obstet Gynecol"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.ajog.2014.03.029","article-title":"Accuracy of ultrasound for the prediction of placenta accreta","volume":"211","author":"Z S Bowman","year":"2014","journal-title":"Am J Obstet Gynecol"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1348","DOI":"10.1111\/1471-0528.13547","article-title":"Abnormally invasive placenta-prevalence, risk factors and antenatal suspicion:\n                    results from a large population-based pregnancy cohort study in the Nordic\n                    countries","volume":"123","author":"L Thurn","year":"2016","journal-title":"BJOG"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"761","DOI":"10.3109\/14767058.2011.598585","article-title":"PAMUS: placenta accreta management across the United States","volume":"25","author":"T F Esakoff","year":"2012","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"756","DOI":"10.3109\/14767058.2011.594467","article-title":"Management of placenta accreta: a survey of maternal-fetal medicine\n                    practitioners","volume":"25","author":"J A Jolley","year":"2012","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1602","DOI":"10.3109\/14767058.2013.793662","article-title":"Practice patterns and knowledge of obstetricians and gynecologists regarding\n                    placenta accreta","volume":"26","author":"J D Wright","year":"2013","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1097\/AOG.0b013e3181d066d4","article-title":"Maternal outcome after conservative treatment of placenta accreta","volume":"115","author":"L Sentilhes","year":"2010","journal-title":"Obstet Gynecol"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1111\/aogs.12295","article-title":"Management of placenta percreta: a review of published cases","volume":"93","author":"C Clausen","year":"2014","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1632","DOI":"10.1016\/s0002-9378(96)70117-5","article-title":"The management of placenta percreta: conservative and operative strategies","volume":"175","author":"J M O\u2019Brien","year":"1996","journal-title":"Am J Obstet Gynecol"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1097\/AOG.0000000000000674","article-title":"Placenta accreta and vaginal bleeding according to gestational age at\n                    delivery","volume":"125","author":"MW F Rac","year":"2015","journal-title":"Obstet Gynecol"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1111\/aogs.13140","article-title":"Patient selection for later delivery timing with suspected previa-accreta","volume":"96","author":"N C Perlman","year":"2017","journal-title":"Acta Obstet Gynecol Scand"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1915-5832.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T00:51:29Z","timestamp":1670547089000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1915-5832"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,13]]},"references-count":37,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,12,8]]},"published-print":{"date-parts":[[2022,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1915-5832","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,13]]}}}