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Multidisciplinary Teams in the Management of Placenta Accreta Spectrum Disorders

  • Brett D. EinersonEmail author
  • Robert M. Silver
Aberrant Placentation: Contemporary Management of Placenta Accreta (E Jauniaux, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Aberrant Placentation: Contemporary Management of Placenta Accreta

Abstract

Purpose of Review

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.

Recent Findings

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.

Summary

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.

Keywords

Cesarean hysterectomy Multidisciplinary team Centers of excellence Patient safety Levels of maternal care Transfusion Obstetric anesthesiology 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Brett D. Einerson and Robert M. Silver declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of Utah HealthSalt Lake CityUSA

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