Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-Analysis

Objective: To compare maternal and neonatal outcomes for women with placenta accreta syndrome (PAS) delivering via a planned or emergent approach.Methods: A systematic search for relevant studies was conducted by screening the PubMed, Scopus, Web of Science, and Google Scholar electronic databases....

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Main Authors: Wei Zhong, Fang Zhu, Shengqiong Li, Jin Chen, Fengya He, Jie Xin, Mei Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.731412/full
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author Wei Zhong
Fang Zhu
Shengqiong Li
Jin Chen
Fengya He
Jie Xin
Mei Yang
author_facet Wei Zhong
Fang Zhu
Shengqiong Li
Jin Chen
Fengya He
Jie Xin
Mei Yang
author_sort Wei Zhong
collection DOAJ
description Objective: To compare maternal and neonatal outcomes for women with placenta accreta syndrome (PAS) delivering via a planned or emergent approach.Methods: A systematic search for relevant studies was conducted by screening the PubMed, Scopus, Web of Science, and Google Scholar electronic databases. Included studies should have been retrospective record-based or prospective in design. They must have compared maternal and/or neonatal outcomes for PAS patients delivering via planned and emergency procedures. Strength of association was presented as pooled adjusted relative risk (RR) for categorical outcomes and weighted mean difference (WMD) for continuous outcomes. Statistical analysis was done using STATA version 16.0.Results: Nine articles were included in the meta-analysis. PAS patients undergoing planned deliveries had increased gestational ages, required fewer units of transfused blood, experienced shorter hospital stay durations, and presented reduced risks for maternal ICU admission and severe maternal morbidity. Neonates born to mothers undergoing planned deliveries had increased birth weights and decreased NICU admission risk.Conclusion: These findings indicate a planned approach for delivery is better for maternal and neonatal outcomes compared to urgent/emergency delivery for PAS patients.
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spelling doaj.art-1aea588e9c9a4f958753fa041e21f4ac2022-12-21T18:57:31ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-09-01810.3389/fmed.2021.731412731412Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-AnalysisWei Zhong0Fang Zhu1Shengqiong Li2Jin Chen3Fengya He4Jie Xin5Mei Yang6Department of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Pain, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Traditional Therapy, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaObjective: To compare maternal and neonatal outcomes for women with placenta accreta syndrome (PAS) delivering via a planned or emergent approach.Methods: A systematic search for relevant studies was conducted by screening the PubMed, Scopus, Web of Science, and Google Scholar electronic databases. Included studies should have been retrospective record-based or prospective in design. They must have compared maternal and/or neonatal outcomes for PAS patients delivering via planned and emergency procedures. Strength of association was presented as pooled adjusted relative risk (RR) for categorical outcomes and weighted mean difference (WMD) for continuous outcomes. Statistical analysis was done using STATA version 16.0.Results: Nine articles were included in the meta-analysis. PAS patients undergoing planned deliveries had increased gestational ages, required fewer units of transfused blood, experienced shorter hospital stay durations, and presented reduced risks for maternal ICU admission and severe maternal morbidity. Neonates born to mothers undergoing planned deliveries had increased birth weights and decreased NICU admission risk.Conclusion: These findings indicate a planned approach for delivery is better for maternal and neonatal outcomes compared to urgent/emergency delivery for PAS patients.https://www.frontiersin.org/articles/10.3389/fmed.2021.731412/fullplacenta accretematernal outcomesneonatal outcomesplanned deliveryemergency delivery
spellingShingle Wei Zhong
Fang Zhu
Shengqiong Li
Jin Chen
Fengya He
Jie Xin
Mei Yang
Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-Analysis
Frontiers in Medicine
placenta accrete
maternal outcomes
neonatal outcomes
planned delivery
emergency delivery
title Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-Analysis
title_full Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-Analysis
title_fullStr Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-Analysis
title_full_unstemmed Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-Analysis
title_short Maternal and Neonatal Outcomes After Planned or Emergency Delivery for Placenta Accreta Spectrum: A Systematic Review and Meta-Analysis
title_sort maternal and neonatal outcomes after planned or emergency delivery for placenta accreta spectrum a systematic review and meta analysis
topic placenta accrete
maternal outcomes
neonatal outcomes
planned delivery
emergency delivery
url https://www.frontiersin.org/articles/10.3389/fmed.2021.731412/full
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