Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?

Author:

Nieto-Calvache Albaro José1ORCID,Hidalgo Alejandra2ORCID,Maya Juliana2ORCID,Sánchez Beatriz13ORCID,Blanco Luisa Fernanda13ORCID,Sinisterra-Díaz Stiven Ernesto4ORCID,Benavides-Calvache Juan Pablo1ORCID,Padilla Iván5ORCID,Aldana Ivonne5ORCID,Jaramillo Martha5ORCID,Gómez Ana Maria5ORCID,Castillo Angela María Olarte6ORCID,Bryon Adriana Messa1ORCID

Affiliation:

1. Clínica de Espectro de Acretismo Placentario, Fundación Valle del Lili, Cali, Colombia

2. Universidad Icesi, Programa de Medicina, Cali, Colombia

3. Departamento de Anestesiología, Fundación Valle del Lili, Cali, Colombia

4. Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia

5. Unidad de Cuidad Intensivo Neonatal, Fundación Valle del Lili, Cali, Colombia

6. Unidad de Cuidado Intensivo Pediátrico, Fundación Valle del Lili, Cali, Colombia

Abstract

Abstract Objective Placenta accreta spectrum (PAS) is a cause of massive obstetric hemorrhage and maternal mortality. The application of family-centered delivery techniques (FCDTs) during surgery to treat this disease is infrequent. We evaluate the implementation of FCDTs during PAS surgeries. Methods This was a prospective, descriptive study that included PAS patients undergoing surgical management over a 12-month period. The patients were divided according to whether FCDTs were applied (group 1) or not (group 2), and the clinical outcomes were measured. In addition, hospital anesthesiologists were surveyed to evaluate their opinions regarding the implementation of FCDTs during the surgical management of PAS. Results Thirteen patients with PAS were included. The implementation of FCDTs during birth was possible in 53.8% of the patients. The presence of a companion during surgery and skin-to-skin contact did not hinder interdisciplinary management in any case. Conclusion Implementation of FCDTs during PAS care is possible in selected patients at centers with experience in managing this disease.

Publisher

Georg Thieme Verlag KG

Subject

Obstetrics and Gynecology

Reference16 articles.

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3. Anesthetic management of placenta accreta in a low-resource setting: a case series;L A Muñoz;Int J Obstet Anesth,2015

4. Retrospective evaluation of anesthetic management in cesarean sections of pregnant women with placental anomaly;A Urfalıoglu;Anesthesiol Res Pract,2020

5. Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns;M G Dominguez-Bello;Proc Natl Acad Sci U S A,2010

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Family-centered Cesarean Section for Placenta Accreta Spectrum: Questions and an Addition;Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics;2023-05

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