Management practices for placenta accreta spectrum patients: a Latin American hospital survey.
| Autor: | Nieto-Calvache AJ; Clínica de Espectro de Acretismo Placentario, Fundación Valle del Lili, Cali, Colombia., Palacios-Jaraquemada JM; Hospital Universitario CEMIC, Buenos Aires, Argentina., Hidalgo A; Facultad de Ciencias de la Salud, Programa de Medicina, Universidad Icesi, Cali, Colombia., Vergara-Galliadi LM; Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia., Cortés Charry R; Hospital Universitario de Caracas, Caracas, Venezuela., Aguilera Daga LR; Hospital de la Mujer Percy Boland, Santa Cruz de la Sierra, Bolivia., Verástegui Goyzueta R; Hospital Municipal Boliviano Holandés, Santa Cruz de la Sierra, Bolivia., Osanan G; Department of Obstetrics and Gynaecology, Faculty of medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil., Fernandez J; Instituto Nacional Materno Perinatal, Lima, Perú., Corrales F; Hospital Central IPS, Asunción, Paraguay., Mereci W; Hospital Padre Carollo, Quito, Ecuador., Yuen-Chon V; Hospital Teodoro Maldonado, Guayaquil, Ecuador., Guevara E; Hospital Regional de Occidente, Quetzaltenango, Guatemala., Zúñiga LA, Girón; Hospital Mario Catarino Rivas, San Pedro Sula, Honduras., Turcios FE; Hospital Materno Infantil Primero de Mayo del ISSS, San Salvador, El Salvador., Muñoz H; Clínica las Condes, Santiago de Chile, Chile., Perez AM; Maternidad del Centro Hospitalario Pereira Rossell, Montevideo, Uruguay., Meade P; Hospital Lomas de San Luis, Cuidad de México, México., Basanta N; Hospital General de agudos Juan A Fernández, Buenos Aires, Argentina., Pineda JP; Maternidad Oroño, Rosario, Argentina. |
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| Jazyk: | angličtina |
| Zdroj: | The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2022 Dec; Vol. 35 (25), pp. 6104-6111. Date of Electronic Publication: 2021 Apr 11. |
| DOI: | 10.1080/14767058.2021.1906858 |
| Abstrakt: | Introduction: Placenta accreta spectrum (PAS) causes severe morbidity and can result in maternal death. It must be managed in specialized centers with interdisciplinary groups, but few publications have described the usual management within a specific geographic region. We intend to describe the usual approach for PAS in reference centers in Latin America. Methodology: This was an observational, multicenter, cross-sectional study conducted in Latin American PAS reference centers. A standardized survey was implemented and applied to obstetric service coordinators and leaders of interdisciplinary groups with experience in PAS between September and November 2020. Results: One hundred fifty-four hospitals were included. Most of them (64.3%) handle approximately one case of PAS every two months, and almost all centers (89.6%) believe that their performance could be improved. Conclusions: Most of the reference centers for PAS in Latin America attend to a small number of cases each year, and almost all of these hospitals identify opportunities to improve the management or approach for PAS in women. |
| Databáze: | MEDLINE |
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