Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? - Revista Brasileira de Ginecologia e Obstetrícia

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Original Article

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

Rev Bras Ginecol Obstet. 2022;44(10):925-929

DOI: 10.1055/s-0042-1751060

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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.

Key-words birthing centers humanization patient-centered care placenta accreta

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Abstracts of Awarded Papers at the 50th Brazilian Congress of Gynecology and Obstetrics
Artigo de Revisão
Original Articles
Carta ao Editor
Case Report
Case Report and Treatment
Clinical Consensus Recommendation
Editorial
Editorial
Equipments and Methods
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Febrasgo Position Statement
Letter to the Editor
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Original Article/Infertility
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Trabalhos Originais
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2021; v.43
2020; v.42
2019; v.41
2018; v.40
2017; v.39
2016; v.38
2015; v.37
2014; v.36
2013; v.35
2012; v.34
2011; v.33
2010; v.32
2009; v.31
2008; v.30
2007; v.29
2006; v.28
2005; v.27
2004; v.26
2003; v.25
2002; v.24
2001; v.23
2000; v.22
1999; v.21
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EndNote RIS

Electronic Document Format (Vancouver)

Nieto-Calvache AJ, Hidalgo A, Maya J, Sánchez B, Blanco LF, Sinisterra-Díaz SE, Benavides-Calvache JP, et al. Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?. Rev Bras Ginecol Obstet 2023;44(10):925-9.

Electronic Document Format (ABNT)

Nieto-Calvache, Albaro José; Hidalgo, Alejandra; Maya, Juliana; Sánchez, Beatriz; Blanco, Luisa Fernanda; Sinisterra-Díaz, Stiven Ernesto; Benavides-Calvache, Juan Pablo; Padilla, Iván; Aldana, Ivonne; Jaramillo, Martha; Gómez, Ana Maria; Castillo, Angela María Olarte; Bryon, Adriana Messa. Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?. Rev Bras Ginecol Obstet, v. 44, n. 10, p. 925-929, Jan. 2023.

Electronic Document Format (APA)

Nieto-Calvache, A. J., Hidalgo, A., Maya, J., Sánchez, B., Blanco, L. F., Sinisterra-Díaz, S. E., Benavides-Calvache, J. P., Padilla, I., Aldana, I., Jaramillo, M., Gómez, A. M., Castillo, A. M. O., & Bryon, A. M. (2023). Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?. Rev Bras Ginecol Obstet, 44(10), 925-929.

Electronic Document Format (ISO)

Nieto-Calvache, Albaro José and Hidalgo, Alejandra and Maya, Juliana and Sánchez, Beatriz and Blanco, Luisa Fernanda and Sinisterra-Díaz, Stiven Ernesto and Benavides-Calvache, Juan Pablo and Padilla, Iván and Aldana, Ivonne and Jaramillo, Martha and Gómez, Ana Maria and Castillo, Angela María Olarte and Bryon, Adriana Messa. Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?. Rev Bras Ginecol Obstet [online]. 2023, vol. 44, n. 10, [cited 2024-06-28], pp.925-929. Available from: <https://journalrbgo.org/article/is-there-a-place-for-family-centered-cesarean-delivery-during-placenta-accreta-spectrum-treatment/>.
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Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? |

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.