ArticleBMJ open2021
Lived experiences of patients with placenta accreta spectrum in Utah: a qualitative study of semi-structured interviews.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05922397 (Evaluation of Clinical Outcomes and Acceptability of an Anatomical Classification for Placenta Accreta Spectrum, a Multicentric Prospective Cohort Study), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of Clinical Outcomes and Acceptability of an Anatomical Classification for Placenta Accreta Spectrum, a Multicentric Prospective Cohort Study
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guidelines on Placenta Accreta Spectrum Disorders: A Systematic Review.JAMA network open · 2025Pooled it
- Placenta Praevia and Placenta Accreta Spectrum: Diagnosis and Management: Green-Top Guideline No. 27a.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Patient centered care for placenta accreta spectrum: Exploring implementation of recommendations based on reported patient and healthcare provider experiences.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Diagnostic Value of Cell-Free DNA Fetal Fraction in Patients With Prenatally Suspected Placenta Accreta Spectrum Disorder.Prenatal diagnosis · 2025Article
- Intended Conservative Management Versus Caesarean Hysterectomy for Known or Suspected Placenta Accreta Spectrum: A Cost-Effectiveness Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Placenta accreta spectrum.Nature reviews. Disease primers · 2025Review
- Factors Contributing to Uptake of Stillbirth Evaluations: A Qualitative Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Prenatal detection of placenta accreta spectrum using a sonographic checklist.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Survivors of Placenta Accreta: What Their Blogs Can Tell Us.The Journal of perinatal education · 2025Article
- Patient Perception of Care, Outcomes, and Consequences from Placenta Accreta Spectrum: A Survey-Based Study.American journal of perinatology · 2024Article
- Placenta accreta spectrum - the ongoing evolution of an iatrogenic condition.Case reports in women's health · 2023Article
- Placenta accreta spectrum: treatment consensus in a resource-limited setting.AJOG global reports · 2023Article
- Creating a postmortem examination decision aid: Suggestions from bereaved parents of a stillborn.Patient education and counseling · 2023Article
- Understanding the experiences and perspectives of prenatal screening among a diverse cohort.Prenatal diagnosis · 2023Article
- Conservative management for placenta accreta spectrum: questions and barriers remain but are surmountable.American journal of obstetrics & gynecology MFM · 2023Article
- Living with a diagnosis of Placenta Accreta Spectrum: Mothers' and Fathers' experience of the antenatal journey and the birth.PloS one · 2023Article
- Quality of surgical management of placenta accreta spectrum in a tertiary center in Sri Lanka: baseline study for quality improvement project: problems and solutions.BMC pregnancy and childbirth · 2022Article
- Living beyond placenta accreta spectrum: parent's experience of the postnatal journey and recommendations for an integrated care pathway.BMC pregnancy and childbirth · 2022Article
- Advantages of individualizing the placenta accreta spectrum management.Frontiers in reproductive health · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo describe the lived experience of patients undergoing diagnosis and treatment of placenta accreta spectrum (PAS).
designQualitative study of semi-structured interviews. A content analysis was used to analyse interview data using a consistent set of codes to designate data segments that contain similar material. Codes were analysed and grouped based on thematic similarities. Thematic results were systematically reviewed, verified and audited to address trustworthiness and rigour of the data and analysis.
settingA single PAS programme in Utah, USA, from 2017 to 2020.
participantsPatients with PAS during the study period were eligible. Those experiencing fetal demise or termination were excluded. Of 25 patients contacted at random, 17 agreed to participate in interviews. Those included were predominantly non-Hispanic white, highly parous, with average age of 34.7 years.
resultsThe lived experiences of patients with PAS emerged across the time continuum from diagnosis, pregnancy, birth, to postpartum care and recovery. Themes common across the care continuum were: the emotional burden of diagnosis and management; fear and uncertainty related to health outcomes; and lack of autonomy and medical helplessness related to medical decision-making. Many patients experienced birth-related trauma, mourned the loss of future fertility and were dissatisfied with the lack of options for treatment for this serious pregnancy complication.
conclusionsPatients undergoing diagnosis and treatment for PAS often experienced care that conflicted with their goals for pregnancy and birth. Clinical care for PAS would benefit from interventions aiming to engage patients and providers in shared decision-making and systems designed to address the social, psychological and emotional needs of patients with PAS.
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