{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:23:28Z","timestamp":1776450208489,"version":"3.51.2"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,11,24]],"date-time":"2015-11-24T00:00:00Z","timestamp":1448323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Anesthesia practices for placenta previa (<jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>) and accreta (<jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>) impact hemorrhage management and other supportive strategies. We conducted a survey to assess reported management of <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> in all Israeli labor and delivery units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>After Institutional Review Board waiver, we surveyed all 26 Israeli hospitals with a labor and delivery unit by directly contacting the representatives of obstetric anesthesiology services in every department (unit director or department chair). Each director surveyed provided information about the anesthetic and transfusion management in their labor and delivery units for three types of abnormal placentation based on antenatal placental imaging: <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>, low suspicion for <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>, and high suspicion for <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>. The primary outcome was use of neuraxial or general anesthesia for <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> Cesarean delivery. Univariate statistics were used for survey responses using counts and percentages.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The response rate was 100%. Spinal anesthesia is the preferred anesthetic mode for <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content> cases, used in 17\/26 (65.4%) of labor and delivery units. By comparison, most representatives reported that they perform general anesthesia for patients with <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>: 18\/26 (69.2%) for all low suspicion cases of <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> and 25\/26 (96.2%) for all high suspicion cases of <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>. Although a massive transfusion protocol was available in the majority of hospitals (84.6%), the availability of thromboelastography and cell salvage was much lower (53.8% and 19.2% hospitals respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our survey, representatives of anesthesia labor and delivery services in Israel are almost exclusively using general anesthesia for women with high suspicion for <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>; however, almost two\u2010thirds use spinal anesthesia for <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content> without suspicion of <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>. Among representatives, we found wide variations in anesthesia practice patterns with regard to anesthesia mode, multidisciplinary management, and hemorrhage anticipation strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12656","type":"journal-article","created":{"date-parts":[[2015,11,24]],"date-time":"2015-11-24T10:09:02Z","timestamp":1448359742000},"page":"457-464","source":"Crossref","is-referenced-by-count":26,"title":["Israeli survey of anesthesia practice related to placenta previa and accreta"],"prefix":"10.1111","volume":"60","author":[{"given":"A.","family":"Ioscovich","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Perioperative Medicine and Pain Treatment Shaare Zedek Medical Center Hebrew University Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Shatalin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Perioperative Medicine and Pain Treatment Shaare Zedek Medical Center Hebrew University Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. J.","family":"Butwick","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Stanford University School of Medicine Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Ginosar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine Hadassah\u2010Hebrew University Medical Center Ein Kerem Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Orbach\u2010Zinger","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Rabin Medical Center (Beilinson Campus) Petah Tikvah Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. 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