{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T17:16:28Z","timestamp":1784567788353,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015675","name":"National Blood Authority","doi-asserted-by":"publisher","award":["ID405"],"award-info":[{"award-number":["ID405"]}],"id":[{"id":"10.13039\/100015675","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008810","name":"NSW Ministry of Health","doi-asserted-by":"publisher","award":["Prevention Research Support Program"],"award-info":[{"award-number":["Prevention Research Support Program"]}],"id":[{"id":"10.13039\/501100008810","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Interventional radiology (IR) is a technique for controlling hemorrhage and preserving fertility for women with serious obstetric conditions such as placenta accreta spectrum (PAS) or postpartum hemorrhage. This study examined maternal, pregnancy and hospital characteristics and outcomes for women receiving IR in pregnancy and postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>A population\u2010based record linkage study was conducted, including all women who gave birth in hospital in New South Wales or the major tertiary hospital in the neighboring Australian Capital Territory, Australia, between 2003 and 2019. Data were obtained from birth and hospital records. Characteristics and outcomes of women who underwent IR in pregnancy or postpartum are described. Outcomes following IR were compared in a high\u2010risk cohort of women: those with PAS who had a planned cesarean with hysterectomy. Women were grouped by those who did and those who did did not have IR and were matched using propensity score and other factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified IR in 236 pregnancies of 1\u00a0584\u2009708 (15.0 per 100\u2009000), including 208 in the delivery and 26 in a postpartum admission. Two\u2010thirds of women receiving IR in the birth admission received a transfusion of red cells or blood products, 28% underwent hysterectomy and 12.5% were readmitted within 6\u2009weeks. Other complications included: severe maternal morbidity (29.8%), genitourinary tract trauma\/repair (17.3%) and deep vein thrombosis\/pulmonary embolism (4.3%). Outcomes for women with PAS who underwent planned cesarean with hysterectomy were similar for those who did and did not receive IR, with a small reduction in transfusion requirement for those who received IR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Interventional radiology is infrequently used in pregnant women. In our study it was performed at a limited number of hospitals, largely tertiary centers, with the level of adverse outcomes reflecting use in a high\u2010risk population. For women with PAS undergoing planned cesarean with hysterectomy, most outcomes were similar for those receiving IR and those not receiving IR, but IR may reduce bleeding.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14508","type":"journal-article","created":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T08:52:10Z","timestamp":1674723130000},"page":"370-377","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Interventional radiology in obstetric patients: A population\u2010based record linkage study of use and outcomes"],"prefix":"10.1111","volume":"102","author":[{"given":"Heather J.","family":"Baldwin","sequence":"first","affiliation":[{"name":"The University of Sydney Northern Clinical School Women and Babies Research  St Leonards New South Wales Australia"},{"name":"Northern Sydney Local Health District Kolling Institute  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5075-0227","authenticated-orcid":false,"given":"Deborah A.","family":"Randall","sequence":"additional","affiliation":[{"name":"The University of Sydney Northern Clinical School Women and Babies Research  St Leonards New South Wales Australia"},{"name":"Northern Sydney Local Health District Kolling Institute  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Maher","sequence":"additional","affiliation":[{"name":"Department of Radiology Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon P.","family":"West","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"The University of Sydney Sydney Medical School\u2010 Northern  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siranda","family":"Torvaldsen","sequence":"additional","affiliation":[{"name":"The University of Sydney Northern Clinical School Women and Babies Research  St Leonards New South Wales Australia"},{"name":"Northern Sydney Local Health District Kolling Institute  St Leonards New South Wales Australia"},{"name":"School of Population Health UNSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan M.","family":"Morris","sequence":"additional","affiliation":[{"name":"The University of Sydney Northern Clinical School Women and Babies Research  St Leonards New South Wales Australia"},{"name":"Northern Sydney Local Health District Kolling Institute  St Leonards New South Wales Australia"},{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9888-9818","authenticated-orcid":false,"given":"Jillian A.","family":"Patterson","sequence":"additional","affiliation":[{"name":"The University of Sydney Northern Clinical School Women and Babies Research  St Leonards New South Wales Australia"},{"name":"Northern Sydney Local Health District Kolling Institute  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610802273374"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2014.04.005"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03041-4"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2005.00727.x"},{"key":"e_1_2_12_6_1","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Management of Postpartum Haemorrhage (PPH). The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.2017."},{"key":"e_1_2_12_7_1","unstructured":"National Blood Authority.Patient Blood Management Guidelines: Module 5\u2014obstetrics and maternity. Canberra Australia 2015."},{"key":"e_1_2_12_8_1","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Placenta Accreta. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.2015."},{"key":"e_1_2_12_9_1","first-page":"e259.e75","article-title":"Obstetric care consensus No. 7: placenta Accreta Spectrum","volume":"132","author":"American College of Obstetricians and Gynecologists Society for Maternal\u2010Fetal Medicine","year":"2018","journal-title":"Obstet Gynecol"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2011.10.031"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2021.102975"},{"key":"e_1_2_12_12_1","unstructured":"Centre for Health Record Linkage.CHeReL quality assurance procedures for record linkage.http:\/\/wwwcherelorgau\/quality\u2010assurance[Internet]. October 2016."},{"key":"e_1_2_12_13_1","unstructured":"PinkB.Information paper: an introduction to socio\u2010economic indexes for areas (SEIFA) 2006. Australian Bureau of Statistics 2008."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318178eae4"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.113.000359"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1071\/NB11026"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0052893"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14266"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6661(199907\/08)8:4<173::AID-MFM7>3.0.CO;2-V"},{"issue":"402","key":"e_1_2_12_20_1","first-page":"e1","article-title":"Case\u2010control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta","volume":"197","author":"Shrivastava V","year":"2007","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.2417"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349.2010.481015"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14508","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.14508","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T15:25:49Z","timestamp":1743780349000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,26]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/aogs.14508"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14508","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,26]]},"assertion":[{"value":"2022-06-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}