A nationwide survey of centers with multidisciplinary teams for placenta accreta patient care in Colombia, observational study

MAP is associated with severe morbidity and maternal mortality. Therefore, it requires that patients with this condition to be attended in centers that have trained personnel and specific infrastructure. We aimed to identify the hospitals in Colombia that count on the minimum amount of medical speci...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2022-06, Vol.35 (12), p.2331-2337
Main Authors: Nieto-Calvache, Albaro J., López-Girón, Maria C., Nieto-Calvache, Alejandro, Messa-Bryon, Adriana, Benavides-Calvache, Juan P., Burgos-Luna, Juan M.
Format: Article
Language:English
Subjects:
Cesarean Section
Colombia
Female
health surveys
Humans
Hysterectomy
interdisciplinary communication
Patient Care
Patient Care Team
Placenta accreta
Placenta Accreta - surgery
Placenta Accreta - therapy
Pregnancy
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Summary:MAP is associated with severe morbidity and maternal mortality. Therefore, it requires that patients with this condition to be attended in centers that have trained personnel and specific infrastructure. We aimed to identify the hospitals in Colombia that count on the minimum amount of medical specialties to manage this pathological condition and describe their general care practices. Observational study in 87 obstetric tertiary care centers in Colombia. The requested information was collected using a predesigned survey, applied to the reported hospitals, and stored in an electronic database. Eighty-six hospitals were identified as possessing the capacity to care for women with accreta, of which 71 provided information (82.55% compliance). Although 83.09% of hospitals choose to treat patients with accreta, only 36.6% has a fixed group of specialists, 32.21% did not have interventional radiology, 25.36% did not have a blood bank, and 67.79% did not have intraoperative cell recovery devices; 77.46% of the surveyed hospitals had cared for five or fewer patients with accreta per year. Most hospitals manage a low number of MAP cases per year, which are handled by shift specialists and not by a fixed group of professionals, which increases the difficulty of achieving expertise.
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2020.1786052