Lack of experience is a main cause of maternal death in placenta accreta spectrum patients

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dc.creatorRozi Aditya Aryananda
dc.creatorAlbaro J.nieto'calvache
dc.creatorZaman n. Joshua
dc.creatorLina Maria Vergara Galliadi
dc.creatorAlejandro s. Nieto'calvache
dc.creatorJosé e. Sanín'blair
dc.creatorJuan m Burgos'luna
dc.creatorJose m. Palaios'jaraquemada
dc.creatorGabriel Costa Osanan
dc.creatorRafael Cortes'charry
dc.creatorVidyadhar b. Bangal
dc.creatorAziz Slaoui
dc.creatorAhmed Mohamed Abbas
dc.creatorGodwin o. Akaba
dc.date.accessioned2023-07-20T23:07:27Z
dc.date.accessioned2025-09-08T23:59:47Z
dc.date.available2023-07-20T23:07:27Z
dc.date.issued2021-04-18
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1111/aogs.14163
dc.identifier.issn0001-6349
dc.identifier.urihttps://hdl.handle.net/1843/56828
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofActa Obstetricia et Gynecologica Scandinavica
dc.rightsAcesso Aberto
dc.subjectPaíses em Desenvolvimento
dc.subjectPesquisa
dc.subjectMorte Materna
dc.subjectPlacenta Acreta
dc.subjectQualidade da Assistência à Saúde
dc.subject.otherDeveloping countries
dc.subject.otherExperience
dc.subject.otherMaternal death
dc.subject.otherPlacenta Acreta
dc.subject.otherQuality of healthcare
dc.titleLack of experience is a main cause of maternal death in placenta accreta spectrum patients
dc.typeArtigo de periódico
local.citation.epage1453
local.citation.issue5
local.citation.spage1445
local.citation.volume100
local.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 tendency
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://obgyn.onlinelibrary.wiley.com/doi/10.1111/aogs.14163

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