**7. Conclusions**

In conclusion, women undergoing planned operations for MAP are among those at highest risk for catastrophic obstetric hemorrhage, especially those for whom blood products are not an option. A multidisciplinary approach to management is the key to patient survival. Goals include limiting blood loss, maintaining hemodynamic stability, and reducing postoperative morbidity. In addition to the obstetric and anesthesia teams, assistance by general, acute care, trauma, or vascular surgeons may be required for hemorrhage control. REBOA is an emerging hemorrhage-control technique with benefits for obstetric applications and represents a tool that should be in the armamentarium of obstetric/gynecologic surgeons.
