Surgical management of placenta accreta spectrum in the Russian Federation (a pilot multicenter study)

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Abstract

Objective: This study aimed to analyze the surgical approaches and effectiveness of various methods for managing and preventing bleeding in patients with placenta accreta spectrum disorders in the Russian Federation (RF).

Materials and methods: This retrospective multicenter study analyzed clinical and anamnestic data as well as surgical delivery outcomes of 2297 patients with placenta accreta spectrum who were treated in tertiary-level hospitals over the past 6 years. Data were collected from 33 regions of the Russian Federation, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russia and the Mother and Child Group of Companies.

Results: From 2017 to 2023, 2297 patients with placenta accreta spectrum were operated on by multidisciplinary teams of doctors in 33 regions of the Russian Federation. The mean gestational age at delivery was 35.3 (3.3) weeks. Organ-removing surgery was performed in 342 (14.9%) patients, including one surgical delivery at 18 weeks of gestation due to missed miscarriage. Abdominal access techniques included lower midline laparotomy (LML), which was performed in 1954 (85.1%) patients, and transverse suprapubic incision (TSI), which was performed in 343 (14.9%) patients. A fundal uterine incision was used in 1327 (57.7%) patients. Lower uterine segment incision and corporal cesarean sections were performed in 685 (29.9 %) and 284 (12.4%) patients, respectively. The methods used to prevent and stop bleeding included complex compression hemostasis in 1196 (52.1%) patients, temporary balloon occlusion of the common iliac arteries in 280 (12.2%) patients, and other methods in 589 (25.6%) patients.

Conclusion: This pilot multicenter study analyzed the surgical approaches for managing placenta accreta spectrum in various regions of the Russian Federation. The study found that three main methods were used to reduce blood flow in the uterine blood supply system: complex compression hemostasis, ballooning of vessels (internal or common iliac arteries, and aorta), and other methods (ligation of vessels, installation of a vaginal module, and application of compression sutures). Further multicenter prospective studies are necessary to evaluate the factors influencing the development of early and long-term complications and feasibility of subsequent reproductive function.

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About the authors

Gennady T. Sukhikh

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: g_sukhikh@oparina4.ru
ORCID iD: 0000-0002-7712-1260

Academician of the Russian Academy of Sciences, MD, PhD, Professor, Director

Russian Federation, 117997, Moscow, Oparin str., 4

Roman G. Shmakov

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies

Email: r.shmakov@mcclinics.ru
ORCID iD: 0000-0002-2206-1002

MD, PhD, Professor, Professor of the Russian Academy of Sciences, Deputy General Director of the Mother and Child Group of Companies, Chief non-staff obstetrics specialist of the Ministry of Health of Russia

Russian Federation, 117997, Moscow, Ostrovityanov str., 1; 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111

Mark A. Kurtser

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies

Email: m.kurtser@mcclinics.ru
ORCID iD: 0000-0003-0175-1968

Academician of the Russian Academy of Sciences, MD, PhD, Professor, Head of the Department of Obstetrics and Gynaecology (named after Academician G.M. Savelieva), Pediatric Faculty

Russian Federation, 117997, Moscow, Ostrovityanov str., 1; 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111

Sergey V. Barinov

Omsk State Medical University, Ministry of Health of Russia

Email: barinov_omsk@mail.ru
ORCID iD: 0000-0002-0357-7097

MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology №2

Russian Federation, 644099, Omsk, Lenin str., 12

Vladimir D. Chuprynin

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru
ORCID iD: 0000-0002-2997-9019

PhD, Head of the Surgical Department

Russian Federation, 117997, Moscow, Oparin str., 4

Alexandra A. Mikheeva

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Author for correspondence.
Email: shuratora@mail.ru
ORCID iD: 0000-0002-8159-6373

PhD, doctor of the 2nd Department of Obstetrics

Russian Federation, 117997, Moscow, Oparin str., 4

Elrad Yu. Amiraslanov

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: eldis@mail.ru
ORCID iD: 0000-0001-5601-1241

PhD, Head of the Department of Obstetrics

Russian Federation, 117997, Moscow, Oparin str., 4

Ashot M. Grigoryan

Lapino Clinical Hospital

Email: gashot@inbox.ru
ORCID iD: 0000-0001-9226-0130

PhD, Head of the Interventional Cardiology Department

Russian Federation, 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111

Boris A. Konoplev

HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies

Email: b.konoplev@mcclinics.ru
ORCID iD: 0000-0001-6347-4375

Obstetrician-Gynecologist, General Manager

Russian Federation, 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111

Yulia Yu. Kutakova

HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies

Email: y.kutakova@mcclinics.ru

PhD, Medical Manager of the Mother and Child Group of Companies for organizational, scientific and educational work

Russian Federation, 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111

Tamara E. Karapetyan

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: tomamed02@mail.ru
ORCID iD: 0000-0003-0025-3182

MD, PhD, doctor of the Obstetric Department

Russian Federation, 117997, Moscow, Oparin str., 4

Oksana N. Vasilchenko

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: o_vasilchtnko@oparina4.ru
ORCID iD: 0000-0002-5348-8017

PhD, doctor of the 2nd Maternity Department

Russian Federation, 117997, Moscow, Oparin str., 4

Tatyana M. Zabelina

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: romashova-1993@bk.ru
ORCID iD: 0009-0005-0344-2669

PhD, doctor at Maternity Department, Perinatal Center of City Clinical Hospital No. 31 named after Academician G.M. Savelyeva

Russian Federation, 117997, Moscow, Oparin str., 4

Olga F. Serova

Moscow Regional Perinatal Center

Email: olga-serova@yandex.ru
ORCID iD: 0000-0002-4088-4619

MD, PhD, Professor, Head Physician, Chief non-staff specialist in obstetric services of the Ministry of Health of the Moscow Region

Russian Federation, 143900, Moscow region, Balashikha, Shosse Entuziastov, 12

Alexey V. Pyregov

Moscow Regional Perinatal Center

Email: pyregov@mail.ru
ORCID iD: 0000-0001-8382-9671

MD, PhD, Professor, Deputy Head Physician, Chief non-staff specialist in anaestesiology-reanimatology of the Ministry of Health of the Moscow Region

Russian Federation, 143900, Moscow region, Balashikha, Shosse Entuziastov, 12

Ilyas A. Kulikov

Vidnovsky Perinatal Center

Email: aesculap@inbox.ru
ORCID iD: 0000-0002-2460-1623

PhD, Head of the Department of Pregnancy Pathology

Russian Federation, 42700, Moscow Region, Zavodskaya str., 17

Tamara N. Belousova

Vidnovsky Perinatal Center

Email: beltamara1@mail.ru
ORCID iD: 0000-0003-3804-7691

PhD, Head Physician

Russian Federation, 142700, Moscow Region, Zavodskaya str., 17

Elena N. Plakhotina

Vidnovsky Perinatal Center

Email: enp2004@inbox.ru
ORCID iD: 0000-0002-6793-2318

MD, PhD, Head of the Department of Anesthesiology and Intensive Care

Russian Federation, 142700, Moscow Region, Zavodskaya str., 17

Grigory A. Penzhoyan

Kuban State Medical University

Email: pga05@mail.ru
ORCID iD: 0000-0002-8600-0532

Head of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Advanced Training and Professional Retraining of Specialists, MD, Professor

Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2

Tatiana B. Makukhina

Kuban State Medical University

Email: soltatiana@mail.ru
ORCID iD: 0000-0003-0536-4500

PhD, Associate Professor of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Advanced Training and Professional Retraining of Specialists

Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2

Margarita D. Andreeva

Kuban State Medical University, Ministry of Health of Russia

Email: andreeva_md@mail.ru
ORCID iD: 0000-0002-6524-3965

Chief non-staff specialist in obstetrics at the Ministry of Health of the Krasnodar Territory, Professor of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Advanced Training and Professional Retraining of Specialists, MD

Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2

Olga A. Shapovalova

Regional Clinical Hospital No. 2, Ministry of Health of the Krasnodar Territory

Email: shapovalova_25@mail.ru

Deputy Chief Physician in Obstetrics and Gynecology, PhD

Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2

Gayane V. Kamenskikh

Regional Clinical Hospital No. 2, Ministry of Health of the Krasnodar Territory

Email: gaene@mail.ru

obstetrician-gynecologist at the Obstetric Observational Department, PhD

Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2

Svetlana V. Lobach

Regional Clinical Hospital No. 2, Ministry of Health of the Krasnodar Territory

Email: lobach_sv@mail.ru

Head of the Department of Obstetric Pathology of Pregnant Women No.1, Obstetrician-gynecologist of the highest category

Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2

Tamara I. Pozdnyakova

Kabardino-Balkarian Republican Perinatal Center, Ministry of Health of Kabardino-Balkarian Republic

Email: perinatal.nalchik@mail.ru

PhD, Deputy Chief Medical Officer

Russian Federation, 360032, KBR, Nalchik, Shogenova str., 34

Irina V. Saveljeva

Omsk State Medical University, Ministry of Health of Russia

Email: saveljeva_iv_omsk@mail.ru
ORCID iD: 0000-0001-9342-7342

MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology № 1

Russian Federation, 644099, Omsk, Lenin str., 12

Elena A. Bukharova

Omsk State Medical University, Ministry of Health of Russia

Email: buxarova88@mail.ru
ORCID iD: 0000-0002-6093-3721

PhD, Teaching Assistant at the Department of Obstetrics and Gynecology No. 1

Russian Federation, 644099, Omsk, Lenin str., 12

Natalya V. Nosova

Omsk State Medical University, Ministry of Health of Russia

Email: natalya-nosova-85@mail.ru
ORCID iD: 0000-0002-2362-5367

Teaching Assistant at the Department of Obstetrics and Gynecology No. 1

Russian Federation, 644099, Omsk, Lenin str., 12

Vitaly B. Tskhay

Prof. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: tchai@yandex.ru
ORCID iD: 0000-0003-2228-3884

MD, PhD, Professor, Head of the Department of Perinatology, Obstetrics and Gynecology

Russian Federation, 660022, Krasnoyarsk, Partizan Zheleznyak str. 1

Yuriy S. Raspopin

Prof. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia; Krasnoyarsk Regional Clinical Centre for Maternal and Child Health

Email: oar24@mail.ru
ORCID iD: 0000-0001-5550-1628

PhD, Teaching Assistant at the Department of Anesthesiology and Intensive Care of Institute of Postgraduate Education, Head of the Department of Anesthesiology and Resuscitation No. 2

Russian Federation, 660022, Krasnoyarsk, Partizan Zheleznyak str., 1; 660074, Krasnoyarsk, st. Akademika Kirenskogo, 2A

Yuliyа G. Garber

Krasnoyarsk Regional Clinical Center for Maternal and Child Health

Email: kkkc@pericentr.ru

Deputy Chief Physician for obstetric and gynecological care

Russian Federation, 660074, Krasnoyarsk, Academician Kirensky str., 2A

Igor R. Wecker

Orenburg Regional Clinical Hospital No. 2

Email: ivekker@rambler.ru

PhD, Deputy Chief Physician for obstetric and gynecological care

Russian Federation, 460000, Orenburg, Nevelskaya str., 24

Olga N. Jurlova

Orenburg Regional Clinical Hospital No. 2

Email: anis1979@mail.ru

Obstetrician-Gynecologist, Head of the Department of Pregnancy Pathology

Russian Federation, 460000, Orenburg, Nevelskaya str., 24

Marina V. Nechaeva

Samara Regional Clinical Hospital named after V.D. Seredavin

Email: marinanechaeva2010@mail.ru
ORCID iD: 0000-0001-6468-8199

PhD, Head of the Reception Department of the obstetric building

Russian Federation, 443095, Samara, Tashkentskaya str., 159

Tatyana S. Belokoneva

Samara Regional Clinical Hospital named after V.D. Seredavin

Email: belokonevats@mail.ru
ORCID iD: 0000-0001-5923-9129

PhD, Head of the Department of Antenatal Fetal Protection and Ultrasound Diagnostics of the obstetric building

Russian Federation, 443095, Samara, Tashkentskaya str., 159

Nataliya V. Protopopova

Irkutsk State Medical Academy of Postgraduate Education – a branch of the Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

Email: doc_protopopova@mail.ru
ORCID iD: 0000-0002-1740-228X

MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology

Russian Federation, 664049, Irkutsk, Yubileyny Ave., 100

Victoria N. Dudakova

Irkutsk State Medical Academy of Postgraduate Education – a branch of the Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

Email: vidun@mail.ru
ORCID iD: 0000-0003-2916-5688

MD, PhD, Associate Professor of the Department of Obstetrics and Gynecology

Russian Federation, 664049, Irkutsk, Yubileyny Ave., 100

Denis A. Novichkov

Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russia

Email: dnovichkov@mail.ru
ORCID iD: 0000-0001-6945-835X

PhD, Associate Professor of the Department of Obstetrics and Gynecology of the Pediatric Faculty, Chief non-staff obstetrician-gynecologist of the Ministry of Health of Saratov Region

Russian Federation, 410012, Saratov, B. Kazachya str., 112

Natalia F. Khvorostukhina

Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russia

Email: Khvorostukhina-NF@yandex.ru
ORCID iD: 0000-0002-5864-3397

MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty

Russian Federation, 410012, Saratov, B. Kazachya str., 112

Natalia Yu. Vladimirova

Perinatal Center named after Professor G.S. Postol, Ministry of Health of the Khabarovsk Territory

Email: zam.pc@mail.ru
ORCID iD: 0009-0004-1776-7168

MD, PhD, Deputy Chief Physician for Obstetrics and Gynecology

Russian Federation, 680000, Khabarovsk, Istomina str., 85

Ksenia V. Fedorova

Perinatal Center named after Professor G.S. Postol, Ministry of Health of the Khabarovsk Territory

Email: zam.pc@mail.ru

Physician at the Maternity Department

Russian Federation, 680000, Khabarovsk, Istomina str., 85

Marina P. Rinchindorzhieva

ГАУЗ «Республиканский перинатальный центр» Минздрава Республики Бурятия

Email: marirmp@mail.ru
ORCID iD: 0000-0003-1153-6057

PhD, Head of Department, Republican Perinatal Center, Ministry of Health of the Republic of Buryatia

Russian Federation, 670031, Russia, Buryatia, Ulan-Ude, Pirogova str., 15b

Bairma B. Tudupova

Republican Perinatal Center, Ministry of Health of the Republic of Buryatia

Email: udupova.76@mail.ru
ORCID iD: 0009-0000-6444-2471

PhD, Head of the Pregnancy Pathology Department

Russian Federation, 670031, Russia, Buryatia, Ulan-Ude, Pirogova str., 15b

Tatiana V. Panova

Regional Perinatal Center of City Clinical Hospital No. 40

Email: tatvpanova@yandex.ru

PhD, Obstetrician-Gynecologist, Head

Russian Federation, 603083, Nizhny Novgorod, Smirnov Hero str., 71/5

Olga I. Guseva

Privolzhsky Research Medical University, Ministry of Health of Russia

Email: alisa52@yandex.ru
ORCID iD: 0009-0002-1241-7076

MD, PhD, Professor of the Department of Obstetrics and Gynecology

Russian Federation, 603005, Nizhny Novgorod, Minin and Pozharsky sqr., 10/1

Olga V. Manuilenko

City Clinical Hospital No. 40

Email: o-v-man@mail.ru

PhD, Chief Physician

Russian Federation, 603083, Nizhny Novgorod, Smirnov Hero str., 71/5

Olga Yu. Brum

Transbaikal Regional Perinatal Center, Ministry of Health of Transbaikal region

Email: ymnenkaya@yandex.ru

Deputy Chief Physician for Obstetrics and Gynecological Care, Chief non-staff specialist in obstetrics and gynecology of the

Russian Federation, 672038, Chita, Transbaikal region, Kokhansky str., 16

Oksana V. Dorfman

Transbaikal Regional Perinatal Center, Ministry of Health of Transbaikal region

Email: Oksana-dorfman@yandex.ru

Head of the Maternity Department

Russian Federation, 672038, Chita, Transbaikal region, Kokhansky str., 16

Tatiana A. Verovskaya

Volgograd Regional Clinical Perinatal Center No. 2

Email: vokpc2@volganet.ru

Chief non-staff obstetrician-gynecologist at the Health Committee of the Volgograd region, Chief Physician

Russian Federation, 400008, Volgograd, Marshal Vasilevsky str., 70

Lalita K. Babaeva

Volgograd Regional Clinical Perinatal Center No. 2

Email: vokpc2@volganet.ru

Obstetrician-gynecologist

Russian Federation, 400008, Volgograd, Marshal Vasilevsky str., 70

Alexander N. Rymashevsky

Rostov State Medical University, Ministry of Health of Russia

Email: rymashevskyan@mail.ru
ORCID iD: 0000-0003-3349-6914

MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology No. 1

Russian Federation, 344022, Rostov-on-Don, Suvorov str., 119,

Tatyana V. Khvalina

Rostov Regional Perinatal Center

Email: super-x-n2012@yandex.ru

Head of the Department of Pathology of Pregnancy

Russian Federation, 344068, Rostov-on-Don, Bodray str., 90

Svetlana L. Dmitrieva

Kirov Regional Clinical Perinatal Center; Kirov State Medical University, Ministry of Health of Russia

Email: swdmitr09@yandex.ru
ORCID iD: 0000-0002-2505-0202

PhD, Deputy Chief Physician for obstetric and gynecological care, obstetrician-gynecologist, Associate Professor of the Department of Obstetrics and Gynecology

Russian Federation, 610048, Kirov, Moskovskaya str., 163; Kirov

Sergey N. Gorev

Kirov Regional Clinical Perinatal Center

Email: gorew.sergei2018@yandex.ru

Head of the Delivery Department

Russian Federation, 610048, Kirov, Moskovskaya str., 163

Anna I. Malyshkina

Ivanovo Research Institute of Motherhood and Childhood named after V.N. Gorodkov, Ministry of Health of Russia; Ivanovo State Medical Academy, Ministry of Health of Russia

Email: ivniimid@inbox.ru
ORCID iD: 0000-0002-1145-0563

MD, PhD, Professor, Director, Head of the Department of Obstetrics and Gynecology, Medical Genetics, Chief non-staff specialist in obstetrics, gynecology and reproductive health of women of the Ministry of Health of Russia in the Central Federal District of Russia

Russian Federation, 153045, Ivanovo, Pobedy str., 20; 153012, Ivanovo, Sheremetevsky Ave., 8

Oleg N. Pesikin

Ivanovo Research Institute of Motherhood and Childhood named after V.N. Gorodkov, Ministry of Health of Russia

Email: pesikin@inbox.ru
ORCID iD: 0000-0002-3666-5309

PhD, Deputy Director for Medical Work, Head of the Department of Medical and Social Research, Monitoring and Curation

Russian Federation, 153045, Ivanovo, Pobedy str., 20

Vladislav B. Zubenko

Deputy Chief Physician for obstetric and gynecological care, Stavropol Krai Clinical Perinatal Center

Email: zubenkomd@gmail.com

Deputy Chief Physician for obstetric and gynecological care

Russian Federation, 355041, Stavropol Krai, Stavropol, Lomonosov str., 44

Natalia V. Lobach

Stavropol Krai Clinical Perinatal Center

Email: Natasha-lobach@yandex.ru

Head of the Obstetric Department of Pregnancy Pathology

Russian Federation, 355041, Stavropol Krai, Stavropol, Lomonosov str., 44

Tatyana V. Briukhacheva

First Republican Clinical Hospital

Email: fildepersovaya1@yandex.ru

Physician at the Obstetric Department of Pregnancy Pathology, Perinatal Center

Russian Federation, 426039, Izhevsk, V. Highway str., 57

Alyona A. Karavaeva

First Republican Clinical Hospital

Email: alenka-kara88@mail.ru

Physician at the Obstetric Department of Pregnancy Pathology, Perinatal Center

Russian Federation, 426039, Izhevsk, V. Highway str., 57

Vitaly F. Bezhenar

Pavlov First St. Petersburg State Medical University, Ministry of Health of Russia

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929

MD, PhD, Professor, Head of the Department of Obstetrics, Gynecology and Neonatology/Reproductology, Head of the Clinic of Obstetrics and Gynecology

Russian Federation, 197022, St. Petersburg, Leo Tolstoy str., 6-8

Byuzand V. Arakelyan

Pavlov First St. Petersburg State Medical University, Ministry of Health of Russia

Email: byuzand@mail.ru
ORCID iD: 0000-0002-2868-7997

MD, PhD, Professor of the Department of Obstetrics, Gynecology and Neonatology, Deputy Head of the Clinic of Obstetrics and Gynecology

Russian Federation, 197022, St. Petersburg, Leo Tolstoy str., 6-8

Anna Yu. Ralnikova

Pavlov First St. Petersburg State Medical University, Ministry of Health of Russia

Email: anna.ralnikova1510@gmail.com
ORCID iD: 0000-0003-1875-4567

Obstetrician-Gynecologist at the Obstetric Department of Pregnancy Pathology at the Clinic of Obstetrics and Gynecology

Russian Federation, 197022, St. Petersburg, Leo Tolstoy str., 6-8

Tatyanа Yu. Kurleeva

Primorsky Regional Perinatal Center

Email: ktu-pc@perinatalvl.ru

PhD, Chief Physician

Russian Federation, 690011, Vladivostok, Mozhayskaya str., 1B

Elizaveta V. Vologodskaya

Primorsky Regional Perinatal Center

Email: vologodskaya@perinatalvl.ru

Head of the Obstetric Department of Pregnancy Pathology

Russian Federation, 690011, Vladivostok, Mozhayskaya str., 1B

Lyudmila V. Dikareva

Astrakhan State Medical University, Ministry of Health of Russia

Email: dikarevalv@mail.ru
ORCID iD: 0000-0001-9179-1669

MD, PhD, Professor, Head of the Department Obstetrics and Gynecology of Pediatric Faculty with Postgraduate Education Course

Russian Federation, 414000, Astrakhan, Bakinskaya str., 121

Irina P. Malysheva

Regional Perinatal Center, Aleksanrdo-Mariinskaya Regional Clinical Hospital

Email: irina.malysheva@ro.ru
ORCID iD: 0009-0002-1878-8644

Deputy Head of Obstetrics and Gynecology

Russian Federation, 414056, Astrakhan, Tatishcheva str., 2

Azimaa M. Idam-Syuryun

Perinatal Center of Republic of Tyva

Email: azimaa2012@yandex.ru

Deputy Chief Physician for Obstetric and Gynecological Care

Russian Federation, 667011, Tyva Republic, Kyzyl, Oyuna Kursedi str., 159A

Elena Yu. Shakurova

Republic Perinatal Center

Email: shakurova@rpc.karelia.ru

PhD, Deputy Chief Physician

Russian Federation, 185002, Petrozavodsk, Syktyvkar str., 9

Yurii A. Semenov

Deputy Chief Physician of Obstetrics, Regional Perinatal Center

Email: u-sirius@mail.ru

PhD, Chief Physician

Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12

Aleksei V. Sherstobitov

Deputy Chief Physician of Obstetrics, Regional Perinatal Center

Email: Arno1980@yandex.ru

Chief non-staff specialist - obstetrician-gynecologist at the Ministry of Health of Chelyabinsk Region

Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12

Aleksei Ia. Fortygin

Deputy Chief Physician of Obstetrics, Regional Perinatal Center

Email: Le.fort@mail.ru

Deputy Chief Physician for Gynecology and Obstetrics

Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12

Evgenii S. Ziuzin

Deputy Chief Physician of Obstetrics, Regional Perinatal Center

Email: ipselux@gmail.com

Head of the Surgery Department

Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12

Natalya L. Kashlevskaya

Penza Regional Clinical Hospital named after N.N. Burdenko

Email: natela807@mail.ru

Chief non-staff specialist of the Penza region in obstetrics and gynecology, Deputy Chief Physician for obstetric and gynecological care

Russian Federation, 440026, Penza, Lermontov str., 28

Margarita S. Shamina

Penza Regional Clinical Hospital named after N.N. Burdenko

Email: mar-cergevna@yandex.ru

Obstetrician-Gynecologist at the Department of Pregnancy Pathology, Perinatal Center

Russian Federation, 440026, Penza, Lermontov str., 28

Tatyana A. Gustovarova

Smolensk State Medical University, Ministry of Health of Russia

Email: tanya.prof@yandex.ru

MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology FDPO

Russian Federation, 214019, Smolensk, Krupskoj str., 28

Valeriy A. Khavansky

Mordovian Republican Central Clinical Hospital

Email: hva1964@mail.ru

Obstetrician-Gynecologist, Head of the Maternity Department

Russian Federation, 430013, Saransk, Pobedy str., 14/5, building 1

Mikhail E. Shchegolkov

Lipetsk Regional Perinatal Center

Email: lopc@zdrav48.ru

Chief Physician

Russian Federation, 398050, Lipetsk, Zegelya str., 6

Svetlana A. Kulakova

Belgorod Regional Clinical Hospital of St. Joasaph

Email: shuratora@mail.ru

PhD, Obstetrician-Gynecologist, Head of the Labor Department, Perinatal Center

Russian Federation, 308007, Belgorod, Nekrasova str., 8/9

Viktoria V. Klishina

Novgorod Regional Clinical Perinatal Center named after V.Yu. Mishekurin

Email: 853vvk@gmail.com

Deputy Chief Physician, Obstetrician-Gynecologist, Chief non-staff specialist in obstetrics and gynecology of the Ministry of Health of Novgorod Region

Russian Federation, 173001, Veliky Novgorod, Tihviskaya str., 9/11

References

  1. Wang Y., Zhou Y., Zeng L., Chen L., Zhao Y. Analysis of risk factors for massive intraoperative bleeding in patients with placenta accreta spectrum. BMC Pregnancy Childbirth. 2022; 22(1):116. https//dx.doi.org/10.1186/ s12884-022-04391-x.
  2. Baldwin H.J., Nippita T.A., Torvaldsen S., Ibiebele I., Ford J.B., Patterson J.A. Outcomes of subsequent births after placenta accreta spectrum. Obstet. Gynecol. 2020; 136(4): 745-55. https//dx.doi.org/10.1097/AOG.0000000000004051.
  3. Hobson S.R., Kingdom J.C., Murji A., Windrim R.C., Carvalho J.C.A., Singh S.S. et al. No. 383-screening, diagnosis, and management of placenta accreta spectrum disorders. J. Obstet. Gynaecol. Can. 2019; 41(7):1035-49. https//dx.doi.org/10.1016/j.jogc.2018.12.004.
  4. Parveen F., Aijaz S., Aijaz W., Qureshi N. Frequency of obstetrical hysterectomy in morbidly adherent placenta in vomen with previous cesarean section in tertiary care hospital. Pak. J. Med. Heal. Sci. 2023; 17(3): 534-6. https://dx.doi.org/10.53350/pjmhs2023173534.
  5. Ikram-ul-haq A., Sadiq N., Bashir S., Waheed N., Shabana N., Aqsa U. Emerging trends in peripartum hysterectomy; a high alert in obstetrics. J. Rawalpindi Med. College (JRMC). 2021; 25(3): 395-9. https://dx.doi.org/10.37939/ jrmc.v25i3.1664.
  6. Tahseen H., Khokhar S., Qurban S., Khurshid N., Tayyab M., Muneer N. Morbidly adherent placenta in patients with placenta previa and feto-maternal outcomes. J. Soc. Obstet. Gynaecol. Pak. 2023; 13(2): 69-72.
  7. Palacios-Jaraquemada J.M., Fiorillo A., Hamer J., Martínez M., Bruno C. Placenta accreta spectrum: a hysterectomy can be prevented in almost 80% of cases using a resective-reconstructive technique. J. Matern. Fetal Neonatal Med. 2022; 35(2): 275-82. https://dx.doi.org/10.1080/14767058.2020.1716715.
  8. Михеева А.А., Шмаков Р.Г., Рогачевский О.В., Ярыгина Т.А., Низяева Э.Ю., Амирасланов Э.Ю. Возможности сохранения репродуктивной функции у женщин после органосохраняющих операций при врастании плаценты. Акушерство и гинекология. 2022; 1: 90-6. [Mikheeva A.A., Shmakov R.G., Rogachevskiy O.V., Yarygina T.A., Nizyaeva N. V., Amiraslanov E.Yu. Fertility preservation in women with placenta accreta spectrum undergoing organ-sparing surgery. Obstetrics and Gynecology. 2022; (1): 90-6. (in Russian)]. https://dx.doi.org/10.18565/aig.2022.1.90-96.
  9. Патент RU 2 626 984 C1. Шмаков Р.Г., Чупрынин В.Д., Виницкий А.А. Способ двухуровнего гемостаза при выполнении органосохраняющего оперативного родоразрешения у пациенток с врастанием плаценты. Заявка: 2016139121, 2016.10.05. Опубликовано: 2017.08.02. [Patent RU 2 626 984 C1. Shmakov R.G., Chuprynin V.D., Vinitskij A.A. Method of two-level hemostasis when performing organ-preserving operative delivery in patients with placenta ingrowth. Application 2016139121, 2016.10.05. Publ. 2017.08.02. (in Russian)].
  10. Курцер М.А., Бреслав И.Ю., Григорьян А.М. Латышкевич О.А., Кутакова Ю.Ю.,Кондратьева М.А. Временная баллонная окклюзия общих подвздошных артерий при осуществлении органосохраняющих операций у пациенток с врастанием плаценты. Акушерство и гинекология: новости, мнения, обучение. 2018; 6(4): 31-7. [Kurtser M.A., Breslav I.Yu., Griogorian A.M., Latushkevich O.A., Kutakova Yu.Yu., Kondratieva M.A. Temporary balloon occlusion of common iliac arteries during organ preservation surgery in patients with placenta ingrowth. Obstetrics and Gynecology: news, opinions, training. 2018; 6(4): 31-7. (in Russian)]. https//dx.doi.org/10.24411/2303-9698-2018-14003.
  11. Abbas S., Shaikh F., Nabila Hasan S. Fetomaternal outcome in morbidly adherent placenta. Pak. J. Med. Heal. Sci. 2023; 17(1): 39-41. https:// dx.doi.org/10.53350/pjmhs2023171139.
  12. Виницкий А.А., Шмаков Р.Г., Чупрынин В.Д. Сравнительная оценка эффективности методов хирургического гемостаза при органосохраняющем родоразрешении у пациенток с врастанием плаценты. Акушерство и гинекология. 2017; 7: 68-74. [Vinitsky A.A., Shmakov R.G., Chuprynin V.D. Comparative evaluation of the efficiency of surgical hemostatic techniques during organ-sparing delivery in patients with placenta increta. Obstetrics and Gynecology. 2017; (7): 68-74. (in Russian)]. https://dx.doi.org/10.18565/aig.2017.7.68-74.
  13. Barinov S.V., Shmakov R.G., Medyannikova I.V., Tirskaya Y.I., Kadtsyna T.V., Lazareva O.V. et al. Efficacy of distal haemostasis during caesarean delivery in women with placenta accreta spectrum disorders. J. Matern. Fetal Neonatal Med. 2022; 35(25): 8778-85. https://dx.doi.org/10.1080/ 14767058.2021.2005019.
  14. Palacios-Jaraquemada J.M., D’Antonio F., Buca D., Fiorillo A., Larraza P. Systematic review on near miss cases of placenta accreta spectrum disorders: correlation with invasion topography, prenatal imaging, and surgical outcome. J. Matern. Fetal Neonatal Med. 2020; 33(19): 3377-84. https://dx.doi.org/ 10.1080/14767058.2019.1570494.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Number of examined and delivered pregnant women with placenta accreta in the uterine scar after cesarean section in the constituent entities of the Russian Federation

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3. Fig. 2. Comparative characteristics of various methods of reducing blood supply to the uterus

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