1. Repositório Institucional da UFMG
  2. Publicações Científicas e Culturais
  3. Artigo de Periódico
Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56828
Full metadata record
DC FieldValueLanguage
dc.creatorRozi Aditya Aryanandapt_BR
dc.creatorAlbaro J.nieto'calvachept_BR
dc.creatorZaman n. Joshuapt_BR
dc.creatorLina Maria Vergara Galliadipt_BR
dc.creatorAlejandro s. Nieto'calvachept_BR
dc.creatorJosé e. Sanín'blairpt_BR
dc.creatorJuan m Burgos'lunapt_BR
dc.creatorJose m. Palaios'jaraquemadapt_BR
dc.creatorGabriel Costa Osananpt_BR
dc.creatorRafael Cortes'charrypt_BR
dc.creatorVidyadhar b. Bangalpt_BR
dc.creatorAziz Slaouipt_BR
dc.creatorAhmed Mohamed Abbaspt_BR
dc.creatorGodwin o. Akabapt_BR
dc.date.accessioned2023-07-20T23:07:27Z-
dc.date.available2023-07-20T23:07:27Z-
dc.date.issued2021-04-18-
dc.citation.volume100pt_BR
dc.citation.issue5pt_BR
dc.citation.spage1445pt_BR
dc.citation.epage1453pt_BR
dc.identifier.doihttps://doi.org/10.1111/aogs.14163pt_BR
dc.identifier.issn0001-6349pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/56828-
dc.description.resumoIntroduction: Placenta accreta spectrum (PAS) is a serious condition with a mortality as high as 7%. However, the factors associated with this type of death have not been adequately described, with an almost complete lack of publications analyzing the determining factors of death in this disease. The aim of our work is to describe the causes of death related to PAS and to analyze the associated diagnosis and treatment problems.Material and methods: This is an inter-continental, multicenter, descriptive, retrospective study in low- and middle-income countries. Maternal deaths related to PAS between January 2015 and December 2020 were included. Crucial points in the management of PAS, including prenatal diagnosis and details of the surgical treatment and postoperative management, were evaluated.Results: Eighty-two maternal deaths in 16 low- and middle-income countries, on three continents, were included. Almost all maternal deaths (81 cases, 98.8%) were pre ventable, with inexperience among surgeons being identified as the most relevant problem in the process that led to death among 87% (67 women) of the cases who had contact with health services. The main cause of death associated with PAS was hemorrhage (69 cases, 84.1%), and failures in the process leading to the diagnosis were detected among 64.6% of cases. Although the majority of cases received medical attention and 50 (60.9%) were treated at referral centers for severe obstetric disease, problems were identified during treatment in all cases.Conclusions: Lack of experience and inadequate surgical technique are the most frequent problems associated with maternal deaths in PAS. Continuous training of interdisciplinary teams is critical to modify this tendencypt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofActa Obstetricia et Gynecologica Scandinavica-
dc.rightsAcesso Abertopt_BR
dc.subjectDeveloping countriespt_BR
dc.subjectExperiencept_BR
dc.subjectMaternal deathpt_BR
dc.subjectPlacenta Acretapt_BR
dc.subjectQuality of healthcarept_BR
dc.subject.otherPaíses em Desenvolvimentopt_BR
dc.subject.otherPesquisapt_BR
dc.subject.otherMorte Maternapt_BR
dc.subject.otherPlacenta Acretapt_BR
dc.subject.otherQualidade da Assistência à Saúdept_BR
dc.titleLack of experience is a main cause of maternal death in placenta accreta spectrum patientspt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://obgyn.onlinelibrary.wiley.com/doi/10.1111/aogs.14163pt_BR
Appears in Collections:Artigo de Periódico

Files in This Item:
File Description SizeFormat 
Lack of experience is a main cause of maternal death in placenta pdfa.pdf292.11 kBAdobe PDFView/Open
Show simple item record


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.