Multidisciplinary Teams in the Management of Placenta Accreta Spectrum Disorders

Current Obstetrics and Gynecology Reports - 2019
Brett D. Einerson1, Robert M. Silver1
1University of Utah Health, Salt Lake City, USA

Tóm tắt

The three-fold purpose of this review is to summarize recent evidence supporting the use of a multidisciplinary team (MDT) approach in patients with placenta accreta spectrum (PAS), to describe essential members and processes of the PAS MDT, and to highlight necessary resources for both planned and unexpected cases of PAS. Maternal outcomes in women with PAS are improved when an antenatal diagnosis occurs and referral is made to centers with MDT specialization and experience in treating PAS. New guidelines unequivocally recommend referral to higher-volume, experienced PAS centers of excellence. The diagnosis and treatment of patients with PAS are complex, resource-intensive, and pose high risk of maternal morbidity and mortality. Recent evidence suggests that stable, experienced MDTs focused on continuous systems improvement at high-volume tertiary care centers are superior to standard obstetric management for patients with PAS. Referral to a center of excellence is indicated when PAS is suspected.

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Tài liệu tham khảo

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