For Morbidly Adherent Placenta, the Team Approach Works Best

Meta-analysis confirms that patients with morbidly adherent placentation fare better when cared for by a multidisciplinary team.

Incidence of morbidly adherent placenta (MAP; placenta accreta, increta, and percreta) is on the rise alongside climbing cesarean delivery rates. Care of patients with MAP is usually concentrated in centers with multidisciplinary teams to address the inherent surgical complexity of these cases. Authors of a meta-analysis assessed risk for maternal delivery complications associated with referral to a multidisciplinary specialty team. The analysis covered 6 studies including 461 women who underwent cesarean delivery for MAP with care provided by a multidisciplinary team or with standard care.

Likelihood of antenatal diagnosis of MAP was similar in both groups. Multidisciplinary teams universally comprised maternal-fetal medicine specialists, g…

Reviewing Author

Allison Bryant, MD, MPH

Disclosures

RoyaltiesUpToDate

Leadership Positions in Professional SocietiesSociety for Maternal-Fetal Medicine (Board of Directors)

Allison Bryant, MD, MPH

Disclosures

RoyaltiesUpToDate

Leadership Positions in Professional SocietiesSociety for Maternal-Fetal Medicine (Board of Directors)

For Morbidly Adherent Placenta, the Team Approach Works Best

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Reviewing Author