Shazly, Sherif A.Hortu, IsmetShih, Jin-ChungMelekoglu, RaufFan, Shangrongul Ain Ahmed, FarhatAnan, Mohamed A.2025-05-102025-05-1020210020-72921879-347910.1002/ijgo.135182-s2.0-85101923674https://doi.org/10.1002/ijgo.13518https://hdl.handle.net/20.500.14720/7227Suardi, Dodi/0000-0003-3084-8101; Irianti, Setyorini/0000-0003-0865-2620; Shih, Jin-Chung/0000-0002-0296-4327; Akhmadeev, Nariman/0000-0003-0908-7256; Ates, Cagri/0000-0001-5341-4950; Melekoglu, Rauf/0000-0001-7113-6691Objective To create a model for prediction of success of uterine-preserving procedures in women with placenta accreta spectrum (PAS). Methods PAS-ID is a multicenter study that included 11 centers from 9 countries. Women with PAS, who were managed between January 1, 2010 and December 31, 2019, were retrospectively included. Data were split into model development and validation cohorts, and a prediction model was created using logistic regression. Main outcome was success of uterine preservation. Results Out of 797 women with PAS, 587 were eligible. Uterus-preserving procedures were successful in 469 patients (79.9%). Number of previous cesarean sections (CS) was inversely associated with management success (adjusted odds ratio [aOR] 0.02, 95% confidence interval [CI] 0.001-3.63 with five previous CS). Other variables were complete placental invasion (aOR 0.14, 95% CI 0.05-0.43), type of CS incision (aOR 0.04, 95% CI 0.01-0.25 for classical incision), compression sutures (aOR 2.48, 95% CI 1.00-6.16), accreta type (aOR 3.76, 95% CI 1.13-12.53), incising away from placenta (aOR 5.09, 95% CI 1.52-16.97), and uterine resection (aOR 102.57, 95% CI 3.97-2652.74). Conclusion The present study provides a prediction model for success of uterine preservation, which may assist preoperative and intraoperative decisions, and promote incorporation of uterine preservation procedures in comprehensive PAS protocols.eninfo:eu-repo/semantics/closedAccessCompression SuturesHysterectomyMorbidly Adherent PlacentaObstetric HemorrhageUterine Wall ResectionArticle1542Q2Q130431133278833WOS:000625155000001