Evidence map›Paper›PMID 40909247›Full record

ArticleFrontiers in surgery2025

Effect of an emergency/planned cesarean section on the perinatal outcomes of pregnant women with placenta accreta spectrum and their neonates: a retrospective study cohort.

Duan Duan, Sumei Wei, Dongmei Tang, Shimao Zhang, Jinzhu Fu, Linbo Cheng, Mi Su, Wenyi Lin, Wen Xiong

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Duan Duan *Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Sumei Wei *Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Dongmei TangChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Shimao ZhangChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Jinzhu FuChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Linbo ChengChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Mi SuChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Wenyi LinChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Wen XiongChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Placenta accreta spectrum (PAS) is an obstetric condition. This study analyzes the outcomes of PAS parturients and their newborns undergoing emergency cesarean sections as opposed to planned cesarean sections. Methods: In this research, we conduct a thorough retrospective analysis of 345 patients with placenta accreta at a single medical center. The patients were systematically categorized into two groups based on the type of surgical procedure: emergency cesarean sections and planned cesarean sections. A univariate analysis was performed to compare the outcomes associated with each approach. Furthermore, a logistic regression analysis was used to identify independent risk factors related to emergency surgeries. To further enhance our understanding, a multiple linear regression analysis was employed to determine the key factors influencing intraoperative bleeding. The selection of covariates for the regression analyses was carefully guided by previously reported influencing factors, as well as the significant differences highlighted in the univariate analysis. Missing data were addressed using multiple imputation based on chained equations to reduce potential bias and preserve analytical integrity. The study enrolled all women with PAS between August 2019 and February 2022. Ethical approval for this study was obtained from the Ethics Committee of Chengdu Women's and Children's Center Hospital (Ethics DOI: 201830). All participants provided written informed consent. Results: The amount of bleeding and allogeneic blood transfusion in mothers in the emergency group was higher than that in the planned group. In the newborns in the emergency group, birth weight, length, and gestational age were lower than those in the planned group. The analysis found that the operation mode ( Conclusions: The perinatal outcomes and perinatal infant outcomes in the emergency group were worse than those in the planned group, as exemplified by a lower neonatal birth weight, shorter body length, smaller gestational age at birth, and higher incidence of severe neonatal asphyxia. An emergency cesarean section may increase the amount of bleeding during a cesarean section in patients with PAS. A multidisciplinary team managing such patients can achieve favorable outcomes. Clinical Trial registration: identifier (ChiCTR2100054068).

Indexed as

emergency cesarean sectionintraoperative blood lossmultidisciplinary treatmentperinatal fetal outcomesperinatal outcomesplacenta accreta spectrum disordersplanned cesarean section

Identifiers

PMID40909247
PMCPMC12406495

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.