(Am J Obstet Gynecol. 2017 February 16)
A previous retrospective study has demonstrated that a multidisciplinary management approach can improve maternal outcomes in cases of morbidly adherent placenta (MAP), or invasive implantation of the villi into/through the myometrium. This proposed, standardized multidisciplinary approach included admission at 33 to 34 weeks of gestation with planned cesarean hysterectomy at a gestational age of 34 to 35 weeks. In the current study, the authors evaluated medical records of patients treated with this multidisciplinary management approach since January 2011, and determined whether or not there was improvement in the outcomes of singleton pregnancies with MAP when managed by a stable and increasingly experienced team.