ArticleBMC women's health2021
A 5-year experience on perinatal outcome of placenta accreta spectrum disorder managed by cesarean hysterectomy in southern Iranian women.
Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Investigating the effect of familiarization with wound care after cesarean section through multimedia in reducing wound complications.BMC pregnancy and childbirth · 2026Article
- Prevalence and Factors Associated With Urologic Injury in Patients With Placenta Accreta Spectrum Undergoing Cesarean Hysterectomy Over a 10-Year Retrospective Cohort at a Tertiary Referral Center in Shiraz, Iran.Health science reports · 2026Article
- Changing trends in perinatal outcomes of placenta accreta spectrum: a comparative analysis of cesarean hysterectomy cases in Southern Iran over a decade.BMC pregnancy and childbirth · 2026Article
- Cervical length and maternal and neonatal outcomes in placenta accreta spectrum: a single-center cohort study from Shiraz, Iran (2020-2024).BMC pregnancy and childbirth · 2026Article
- Predicting the risk of cesarean hysterectomy in the management of placenta accreta spectrum disorders: a new model based on clinical findings and ultrasonography.Archives of gynecology and obstetrics · 2025Article
- Neonatal outcomes in pregnancies complicated by placenta accreta- a matched cohort study.Archives of gynecology and obstetrics · 2024Article
- Neonatal outcomes in the surgical management of placenta accreta spectrum disorders: a retrospective single-center observational study from 468 Vietnamese pregnancies beyond 28 weeks of gestation.BMC pregnancy and childbirth · 2024Observational
- Placenta accreta outcomes and risk factors in a referral hospital in north of Iran: A case control study.Health science reports · 2024Article
- Accuracy of Prenatal Ultrasonography for Diagnosis of Placenta Accreta Spectrum and Risk Factors in A Tertiary Center in Southern Iran.Galen medical journal · 2024Article
- A Novel Approach for Conservative Management of Placenta Accreta Spectrum Disorder Cases: Experience of a Single Surgeon: PAS Disorders and Conservative Management.Journal of pregnancy · 2024Article
- Article
- Evaluation and Comparison of Sensitivity and Specificity of Ultrasonography in Placenta Accreta Diagnosis in the Second and Third Trimesters.Advanced biomedical research · 2023Article
Corrections and comments
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Authors and funding
13 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to investigate the risk factors of placenta accreta spectrum (PAS) disorder, management options and maternal and neonatal outcomes of these pregnancies in a resource-limited clinical setting.
methodsAll women diagnosed with placenta accreta, increta, and percreta who underwent peripartum hysterectomy using a multidisciplinary approach in a tertiary center in Shiraz, southern Iran between January 2015 until October 2019 were included in this retrospective cohort study. Maternal variables, such as estimated blood loss, transfusion requirements and ICU admission, as well as neonatal variables such as, Apgar score, NICU admission and birthweight, were among the primary outcomes of this study.
resultsA total number of 198 pregnancies underwent peripartum hysterectomy due to PAS during the study period, of whom163 pregnancies had antenatal diagnosis of PAS. The mean gestational age at the time of diagnosis was 26 weeks, the mean intra-operative blood loss was 2446 ml, and an average of 2 packs of red blood cells were transfused intra-operatively. Fifteen percent of women had surgical complications with bladder injuries being the most common complication. Furthermore, 113 neonates of PAS group were admitted to NICU due to prematurity of which 15 (7.6%) died in neonatal period.
conclusionOur findings showed that PAS pregnancies managed in a resource-limited setting in Southern Iran have both maternal and neonatal outcomes comparable to those in developed countries, which is hypothesized to be due to high rate of antenatal diagnosis (86.3%) and multidisciplinary approach used for the management of pregnancies with PAS.
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