{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:49:38Z","timestamp":1777416578441,"version":"3.51.4"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to compare outcomes before and after starting a multidisciplinary PAS team with a standardized ultrasound approach.<\/jats:p>\n                  <jats:p>Retrospective cohort study of deliveries \u2265 24 weeks complicated by PAS from August 2009 to April 2022 at a large tertiary care hospital. The multidisciplinary team started in October 2020, and a standardized ultrasound approach was consistently practiced. We compared demographics and pregnancy characteristics before and after the formation of the PAS team. Statistical analysis included Fisher's exact test and \u03c7\n                  2 for categorical variables student's t-test and Kruskal\u2013Wallis test for continuous variables.<\/jats:p>\n                  <jats:p>Of 244 patients, 32 delivered with and 212 delivered before the PAS team. Median gestational age at delivery did not change (37 [36\u201338] vs. 37 [36\u201337] weeks before the team, p\u2009=\u20090.680). With the team, 31\/32 cases of PAS were prenatally diagnosed (97%) compared with 177\/212 (83%) before the team (p\u2009=\u20090.058). There were more cases of false positive prenatal suspicion present with the team (11% vs. 31%). Fewer hysterectomies occurred with the team at 21 (66%) versus 197 (93%) before the team, (p\u2009&lt;\u20090.001). Pathologic severity in hysterectomy specimens significantly differed (p\u2009=\u20090.032), with 10 cases with negative pathology before and none with the team. Due to the lower rate of hysterectomy, the overall median EBL was lower with the team (p\u2009=\u20090.018), but other outcomes were similar. This difference in EBL did not persist when limiting to hysterectomy cases. Maternal LOS overall (6 [5\u20139] vs. 8 [5\u201315] days, p\u2009=\u20090.031) and within hysterectomies (6 [5\u20138] vs. 9 [6\u201316] days, p\u2009=\u20090.042) was significantly shorter with the team.<\/jats:p>\n                  <jats:p>A multidisciplinary PAS team with a standardized ultrasound approach decreased unnecessary hysterectomies and reduced the length of stay at a large tertiary hospital. A higher rate of false positive prenatal suspicion was observed. This finding supports a need for improved prenatal diagnosis to enable better preoperative risk stratification and planning.<\/jats:p>","DOI":"10.1055\/a-2626-3120","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T19:07:23Z","timestamp":1751051243000},"page":"461-471","source":"Crossref","is-referenced-by-count":5,"title":["Placenta Accreta Spectrum Outcomes with a Multidisciplinary Team and Standardized Ultrasound Approach"],"prefix":"10.1055","volume":"43","author":[{"given":"Elise A.","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, UT Southwestern Medical Center, Dallas, Texas"},{"name":"Parkland Health, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashlyn K.","family":"Lafferty","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, UT Southwestern Medical Center, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9019-3229","authenticated-orcid":false,"given":"Jessica E.","family":"Pruszynski","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, UT Southwestern Medical Center, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naseem","family":"Uddin","sequence":"additional","affiliation":[{"name":"Parkland Health, Dallas, Texas"},{"name":"Department of Pathology, UT Southwestern Medical Center, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine Y.","family":"Spong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, UT Southwestern Medical Center, Dallas, Texas"},{"name":"Parkland Health, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6484-9850","authenticated-orcid":false,"given":"Christina L.","family":"Herrera","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, UT Southwestern Medical Center, Dallas, Texas"},{"name":"Parkland Health, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","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"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"B2","DOI":"10.1016\/j.ajog.2018.09.042","article-title":"Placenta accreta spectrum","volume":"219","author":"A G Cahill","year":"2018","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","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"},{"issue":"02","key":"ref4","first-page":"e41","article-title":"Centers for Disease Control and Prevention's, Callaghan WM. 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