ArticlePakistan journal of medical sciences2026
Reflective practice in management of morbidly adherent placenta: A four year comparative retrospective study.
Article in Pakistan journal of medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To analyze trends in management of morbidly adherent placenta and their impact on pregnancy outcomes over a four-year period at a tertiary care hospital center. Methodology: This retrospective cross-sectional study, was conducted in obstetrics and gynecology unit, from September 2018 to August 2022. It included women with singleton pregnancies complicated by Morbidly adherent placenta (MAP), diagnosed either prenatally by ultrasound / Magnetic resonance imaging, or intraoperatively based on failure of placental separation following delivery after 28 weeks of gestation. Pregnancy outcomes, analyzed over four years and compared between two groups defined by time interval: A (2018 - 2020) and B (2020 - 2022) to assess evolving trends in the management and care of MAP over time. Results: A total of 47 women were included with MAP. Preterm delivery (<37 weeks) was more frequent 25(53.2%) in MAP. Uterine conservation was achieved in 27.7% of patients. Blood loss >1500 ml was observed in 85.1% of cases, 57.4% required ≥4 units of intraoperative red blood cell (RBC) transfusion. Postoperative ICU admission was more common with placenta percreta(PPC). A significant association for surgical techniques was seen between Group-A and B: p-value 0.02. Surgical techniques were less frequent in Group-A as compared to Group-B. (B = -1.08, p = 0.052). Conclusion: Morbidly adherent placenta (MAP) is frequently associated with type four placenta previa(PP) and preterm delivery. Cesarean hysterectomy remains the most frequently performed surgical intervention; uterine conservation was feasible in less invasive forms. Multidisciplinary approach and advanced surgical techniques, may contribute to less blood loss and the preservation of future fertility.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.