Table 3 Mode of birth and management of women with PAS Grade 3 in the UK, France, and Italy
UK n (%) n = 39 | France n (%) n = 51 | Italy n (%) n = 34 | P | ||
|---|---|---|---|---|---|
Prenatal suspicion of PAS*† | 23 (59) | 45 (88) | 28 (82) | < 0.01 | |
Transfer to a referral center | 0 (0) | 24 (47) | NA | < 0.01 | |
GA at delivery (median, IQR)* | 36 [34–37] | 36 [35–40] | 35 [34–36] | - | |
< 37 weeks | 24 (67) | 35 (67) | 28 (82) | 0.27 | |
Type of primary anesthesia | Regional | NA | 23 (45)‡ | 20 (87)‡ | |
General | NA | 28 (55) | 3 (13) | < 0.01 | |
Missing data | NA | 0 | 11 | ||
Cesarean delivery* | 36 (92) | 51 (100) | 34 (100) | 0.04 | |
In women with prenatal suspicion of PAS | n = 23 | n = 45 | n = 28 | ||
Preoperative ureteral catheters | NA | 23/45 (51) | 8/20 (40) | 0.30 | |
Missing | NA | 0/45 | 8/28 | ||
Preoperative intravascular balloon catheters | NA | 3/45 (7) | 17/20 (85) | < 0.01 | |
Missing | NA | 0/45 | 8/28 | ||
Attempt to remove placenta at delivery* | 19 (49) | 8 (16) | 6 (18) | < 0.01 | |
Prophylactic artery embolization | NA | 11 (22) | 19 (56) | < 0.01 | |
Cesarean hysterectomy* | 19 (62) | 21 (41) | 34 (100) | < 0.01 | |
Conservative management: placenta left in situ* | 20 (51) | 30 (59) | 0 (0) | - | |
Hysterectomy after placenta left in situ* | 5/20 (25) | 9/30 (30) | 0/0 (0) | 0.76 | |
The final hysterectomy (immediate or secondary)* | 24 (69) | 30 (59) | 34 (100) | < 0.01 | |