How to set up a regional specialist referral service for Placenta Accreta Spectrum (PAS) disorders?

Cesarean Section Female Humans Incidence Placenta Accreta / diagnostic imaging Pregnancy Prenatal Diagnosis Referral and Consultation
Antenatal diagnosis Clinical commissioning High-dependency care MDT care plan Placenta Accreta Spectrum (PAS) disorders The triple P Procedure

Journal

Best practice & research. Clinical obstetrics & gynaecology
ISSN: 1532-1932
Titre abrégé: Best Pract Res Clin Obstet Gynaecol
Pays: Netherlands
ID NLM: 101121582

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 02 07 2020
accepted: 03 07 2020
pubmed: 5 8 2020
medline: 28 4 2021
entrez: 5 8 2020
Statut: ppublish

Résumé

There has been an approximately fivefold increase in the incidence of placenta accreta spectrum (PAS) disorders during the last 30 years, believed to be secondary to increasing Caesarean section rates. PAS disorder is associated with significantly increased maternal morbidity and mortality worldwide. Antenatal diagnosis by foetal medicine teams that have a special expertise to diagnose PAS disorder by the use of ultrasound scan, and a dedicated, highly specialised multidisciplinary team (MDT) comprising surgeons who are skilled in complex pelvic surgery and obstetric anaesthetists who have an expertise in high-risk obstetric anaesthesia, supported by haematology, operating theatre, interventional radiology, midwifery, neonatology, high-dependency and intensive care teams have been recommended to improve maternal and perinatal outcomes. Setting up a specialist MDT regional referral service, PAS involves collaboration with all stakeholders, ensuring appropriate funding, developing MDT care pathways, continuously auditing patient outcomes and disseminating knowledge through research, innovation, education and publications.

Identifiants

DOI: 10.1016/j.bpobgyn.2020.07.007 PMID: 32747327
pubmed: 32747327
pii: S1521-6934(20)30114-0
doi: 10.1016/j.bpobgyn.2020.07.007
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

92-101

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None.

Auteurs

Edwin Chandraharan (E)

Global Academy of Medical Education & Training, Office 4, 219 Kensington High Street, Kensington, London, England, W8 6BD, UK. Electronic address: edwin.c@sky.com.

Richard Hartopp (R)

St. George's University Hospitals NHS Foundation Trust, Blackshaw Road, London, England, SW 17 0QT, UK. Electronic address: Richard.Hartopp@stgeorges.nhs.uk.

Baskaran Thilaganathan (B)

St. George's University Hospitals NHS Foundation Trust, Blackshaw Road, London, England, SW 17 0QT, UK. Electronic address: Baskaran.Thilaganathan@stgeorges.nhs.uk.

Conrado Milani Coutinho (CM)

Ribeirão Preto Medical School, University of São Paulo, Campus Universitário S/N, Ribeirão Preto, SP, CEP: 14048-900, Brazil. Electronic address: cmcoutinho@hotmail.com.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie obstétrique › Accouchement (procédure) › Césarienne › How to set up a regional specialist referral...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › How to set up a regional specialist referral...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Incidence › How to set up a regional specialist referral...
questionsmedicales.fr › Maladies urogénitales › Maladies de l'appareil urogénital féminin et complications de la grossesse › Complications de la grossesse › Maladies du placenta › Placenta accreta › How to set up a regional specialist referral...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › How to set up a regional specialist referral...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic gynécologique et obstétrique › Diagnostic prénatal › How to set up a regional specialist referral...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Pratique professionnelle › Orientation vers un spécialiste › How to set up a regional specialist referral...