{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:28:40Z","timestamp":1762918120348,"version":"3.37.3"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>\n            Objective\u2003This study was aimed to compare clinical outcomes and use of interventions in women with suspected accreta based on the degree of antenatal suspicion.<\/jats:p><jats:p>\n            Study design\u2003This was a retrospective cohort study of women with suspected accreta from 2007 to 2019. Included patients had one or more imaging studies suggestive of accreta. Cases were classified as \u201clower risk\u201d if imaging showed possible signs of accreta including mild or superficial myometrial infiltration, an abnormal uterine contour, an abnormal uteroplacental interface, or loss of the retroplacental hypoechoic zone and \u201chigher risk\u201d if there was clear evidence of more than superficial myometrial infiltration, placental tissue extruding beyond the uterine serosa, bridging vessel(s), or placental lacunae with high velocity and\/or turbulent flow. The primary study outcome was a composite maternal morbidity including cesarean hysterectomy, transfusion of blood or blood products, unintentional cystotomy, or intensive care unit (ICU) admission. Chi-square, Fisher's exact test, and Mann\u2013Whitney U-test were used for analysis.<\/jats:p><jats:p>\n            Results\u2003A total of 78 women had a suspected accreta on imaging, 36 with \u201clower risk\u201d features and 42 with \u201chigher risk\u201d features. There were no differences in baseline maternal demographics. Women in the \u201chigher risk\u201d group were more likely to have a placenta previa (p\u2009&lt;\u20090.01) and preoperative consultation with gynecologic oncology (p\u2009=\u20090.04). There was a significant difference in composite maternal morbidity between patients with \u201clower risk\u201d and \u201chigher risk\u201d features of accreta on imaging (50 vs. 92.9%, p\u2009&lt;\u20090.01). Median gestational age at planned and actual delivery were earlier in the \u201chigher risk\u201d group (36.6 vs. 34.9 weeks, p\u2009&lt;\u20090.01; 36.0 vs. 34.7 weeks, p\u2009&lt;\u20090.01).<\/jats:p><jats:p>\n            Conclusion\u2003Stratification of women with suspected accreta based on imaging corresponded to rates of maternal morbidity and operative complications, and appears to have been used clinically in selecting timing of delivery and interventions.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0040-1712948","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T23:19:45Z","timestamp":1591658385000},"page":"1308-1312","source":"Crossref","is-referenced-by-count":2,"title":["Suspected Placenta Accreta: Using Imaging to Stratify Risk of Morbidity"],"prefix":"10.1055","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1048-418X","authenticated-orcid":false,"given":"Kathy C.","family":"Matthews","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York Presbyterian\u2014Weill Cornell Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica C.","family":"Fields","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York Presbyterian\u2014Weill Cornell Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen T.","family":"Chasen","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York Presbyterian\u2014Weill Cornell Medical Center, New York, New 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