Karin A. Fox
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View article: The Application of Stepwise Pelvic Devascularisation in the Management of Severe Placenta Accreta Spectrum as Part of the Soleymani and Collins Technique for Caesarean Hysterectomy: Surgical Description and Evaluation of Short- and Long-Term Outcomes
The Application of Stepwise Pelvic Devascularisation in the Management of Severe Placenta Accreta Spectrum as Part of the Soleymani and Collins Technique for Caesarean Hysterectomy: Surgical Description and Evaluation of Short- and Long-Term Outcomes Open
Background: Severe (FIGO grade 3b & c) placenta accreta spectrum (PAS) is potentially a life-threatening condition due to catastrophic haemorrhage at delivery. Consequently, interventional radiology (IR) techniques are often employed to pr…
View article: Guidelines on Placenta Accreta Spectrum Disorders
Guidelines on Placenta Accreta Spectrum Disorders Open
Importance Placenta accreta spectrum (PAS) is a complex, life-threatening condition that demands a multidisciplinary approach involving obstetrics, maternal-fetal medicine, and various surgical and medical specialties. Effective management…
View article: Patient centered care for placenta accreta spectrum: Exploring implementation of recommendations based on reported patient and healthcare provider experiences
Patient centered care for placenta accreta spectrum: Exploring implementation of recommendations based on reported patient and healthcare provider experiences Open
Objective Previously, we made recommendations for “family‐centered care” for patients with placenta accreta spectrum (PAS). This study explored patients' experience of their care and how often these recommendations are utilized. Furthermor…
View article: Advances in uterine‐preserving surgical techniques for placenta accreta spectrum
Advances in uterine‐preserving surgical techniques for placenta accreta spectrum Open
Sir, We read with great interest the Letter to the Editor by Palacios-Jaraquemada et al. We are pleased to see that the authors havetaken the publication of the International Society for PlacentaAccreta Spectrum (IS-PAS) as an opportunity …
View article: Emergency delivery in case of suspected placenta accreta spectrum: Can it be predicted?
Emergency delivery in case of suspected placenta accreta spectrum: Can it be predicted? Open
Introduction The main goal of placenta accreta spectrum (PAS) screening is to enable delivery in an expert center in the presence of an experienced team at an appropriate time. Our study aimed to identify independent risk factors for emerg…
View article: External validation of and improvement upon a model for the prediction of placenta accreta spectrum severity using prospectively collected multicenter ultrasound data
External validation of and improvement upon a model for the prediction of placenta accreta spectrum severity using prospectively collected multicenter ultrasound data Open
Introduction This study aimed to validate the Sargent risk stratification algorithm for the prediction of placenta accreta spectrum (PAS) severity using data collected from multiple centers and using the multicenter data to improve the mod…
View article: Prevalence of fetal anomalies, stillbirth, neonatal morbidity, or mortality in pregnancies complicated by placenta accreta spectrum disorders
Prevalence of fetal anomalies, stillbirth, neonatal morbidity, or mortality in pregnancies complicated by placenta accreta spectrum disorders Open
Introduction Placenta accreta spectrum disorders (PAS) lead to major complications in pregnancy. While the maternal morbidity associated with PAS is well known, there is less information regarding neonatal morbidity in this setting. The ai…
View article: Opportunities for, and barriers to, uterus‐preserving surgical techniques for placenta accreta spectrum
Opportunities for, and barriers to, uterus‐preserving surgical techniques for placenta accreta spectrum Open
Introduction Placenta accreta spectrum (PAS) can lead to major peripartum morbidity. Appropriate management approaches depend on the clinical severity, each individual's preference, and the treating team's expertise. Peripartum hysterectom…
View article: Is telehealth useful in the management of placenta accreta spectrum in low‐resource settings? Results of an exploratory survey
Is telehealth useful in the management of placenta accreta spectrum in low‐resource settings? Results of an exploratory survey Open
Objective The optimal management of placenta accreta spectrum (PAS) requires the participation of multidisciplinary teams that are often not locally available in low‐resource settings. Telehealth has been increasingly used to manage comple…
View article: Are international guideline recommendations for the management of placenta accreta spectrum applicable in low‐ and middle‐income countries?
Are international guideline recommendations for the management of placenta accreta spectrum applicable in low‐ and middle‐income countries? Open
Objective The aim of this study was to explore how obstetricians‐gynecologists in low‐ and middle‐income countries (LMICs) can apply current international clinical practice guidelines (CPGs) for the management of placenta accreta spectrum …
View article: Trimester‐specific diagnostic accuracy of ultrasound for detection of placenta accreta spectrum: systematic review and meta‐analysis
Trimester‐specific diagnostic accuracy of ultrasound for detection of placenta accreta spectrum: systematic review and meta‐analysis Open
Objective To assess the diagnostic accuracy of ultrasound for detecting placenta accreta spectrum (PAS) during the first trimester of pregnancy and compare it with the accuracy of second‐ and third‐trimester ultrasound examination in pregn…
View article: A-316 Suboptimal Compliance to Postpartum Glucose Monitoring in a High-risk Pregnancy Population - A Single Center Study
A-316 Suboptimal Compliance to Postpartum Glucose Monitoring in a High-risk Pregnancy Population - A Single Center Study Open
Background Gestational diabetes mellitus (GDM) is a predictive factor in developing type 2 diabetes mellitus (T2DM) in affected mothers and their offspring. Its prevalence is increasing proportionally with the obesity epidemic, affecting 1…
View article: A Retrospective Review of Social Deprivation Index and Maternal Outcomes with Placenta Accreta Spectrum from a Single Referral Center
A Retrospective Review of Social Deprivation Index and Maternal Outcomes with Placenta Accreta Spectrum from a Single Referral Center Open
Objective Little is known about how community characteristics influence placenta accreta spectrum (PAS) outcomes. Our objective was to evaluate whether adverse maternal outcomes among pregnant people (gravidae) with PAS delivering at a sin…
View article: Feasibility Study of Ferumoxtyol for Contrast-enhanced MRI of Retroplacental Clear Space Disruption in Placenta Accreta Spectrum (PAS)
Feasibility Study of Ferumoxtyol for Contrast-enhanced MRI of Retroplacental Clear Space Disruption in Placenta Accreta Spectrum (PAS) Open
Introduction Placenta accreta spectrum (PAS) occurs when the placenta is pathologically adherent to the myometrium. An intact retroplacental clear space (RPCS) is a marker of normal placentation, but visualization with conventional imaging…
View article: Perinatal assessment of complex cesarean delivery: beyond placenta accreta spectrum
Perinatal assessment of complex cesarean delivery: beyond placenta accreta spectrum Open
Multiple cesarean deliveries are known to be associated with long-term postoperative consequences because of a permanent defect of the lower uterine segment wall and the development of thick pelvic adhesions. Patients with a history of mul…
View article: The impact of preoperative ultrasound and intraoperative findings on surgical outcomes in patients at high risk of placenta accreta spectrum
The impact of preoperative ultrasound and intraoperative findings on surgical outcomes in patients at high risk of placenta accreta spectrum Open
Objective To assess whether preoperative ultrasound imaging and intraoperative features predict surgical outcomes in patients at high risk for placenta accreta spectrum (PAS). Design Cohort study. Setting Cairo University Maternity, Egypt.…
View article: A simple guide to ultrasound screening for placenta accreta spectrum for improving detection and optimizing management in resource limited settings
A simple guide to ultrasound screening for placenta accreta spectrum for improving detection and optimizing management in resource limited settings Open
Placenta accreta spectrum is a pregnancy complication associated with severe morbidity and maternal mortality especially when not suspected antenatally and appropriate management instigated. Women in resource‐limited settings are more like…
View article: Obstetrical Challenges in Robinow Syndrome
Obstetrical Challenges in Robinow Syndrome Open
Robinow syndrome is a genetically heterogenous syndrome that exhibits great pleiotropy, involving skeletal genital, cardiac, and craniofacial developmental anomalies. Fertility is not always compromised, and many individuals may be able to…
View article: Visualization of Retroplacental Clear Space Disruption in a Mouse Model of Placental Accreta
Visualization of Retroplacental Clear Space Disruption in a Mouse Model of Placental Accreta Open
Introduction Prior preclinical studies established the utility of liposomal nanoparticle blood-pool contrast agents in visualizing the retroplacental clear space (RPCS), a marker of normal placentation, while sparing fetuses from exposure …
View article: Multimodal postpartum imaging of a severe case of Couvelaire uterus
Multimodal postpartum imaging of a severe case of Couvelaire uterus Open
Objectives Placental abruption occurs when a normally implanted placenta prematurely separates, causing rupture of decidual spiral arteries and retroplacental hemorrhage. Estimates place the incidence of placental abruption somewhere betwe…
View article: Convalescent plasma in hospitalized pediatric and obstetric coronavirus disease 2019 (<scp>COVID</scp>‐19) patients
Convalescent plasma in hospitalized pediatric and obstetric coronavirus disease 2019 (<span>COVID</span>‐19) patients Open
Background Published data on coronavirus disease 2019 (COVID‐19) convalescent plasma (CCP) use in children and obstetric patients are limited. We describe a single‐center experience of hospitalized patients who received CCP for acute COVID…