Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a Glance
BACKGROUND: Management options for placenta accreta spectrum disorder are multiple, without a clear picture of which one is superior. Management guidelines describe the use of a wide range of human and technological resources that are not always available in resource-limited settings. OBJECTIVE: Thi...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | AJOG Global Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666577823000291 |
| _version_ | 1797785502901862400 |
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| author | Albaro José Nieto-Calvache, MD José Enrique Sanín-Blair, MD Marcela Buitrago, MD Juliana Maya, MD Jesús Andrés Benavides, MD |
| author_facet | Albaro José Nieto-Calvache, MD José Enrique Sanín-Blair, MD Marcela Buitrago, MD Juliana Maya, MD Jesús Andrés Benavides, MD |
| author_sort | Albaro José Nieto-Calvache, MD |
| collection | DOAJ |
| description | BACKGROUND: Management options for placenta accreta spectrum disorder are multiple, without a clear picture of which one is superior. Management guidelines describe the use of a wide range of human and technological resources that are not always available in resource-limited settings. OBJECTIVE: This consensus seeks agreement on general guidelines that facilitate the management of placenta accreta spectrum in low- and middle-income countries. STUDY DESIGN: Consensus was developed using the modified Delphi methodology, incorporating 3 successive rounds in which 6 dimensions of placenta accreta spectrum treatment were discussed: pathway for placenta accreta spectrum care, roles at different levels of care, organization of the interdisciplinary teams at the reference hospitals, training interdisciplinary teams, placenta accreta spectrum surgical treatment, and management of placenta accreta spectrum patients without prenatal diagnosis. RESULTS: Consensus was achieved on all questions on placenta accreta spectrum management. Specific low- and middle-income countries problems were addressed, trying to establish guidelines for the construction of trained placenta accreta spectrum interdisciplinary teams, as well as the rational use of the different therapeutic options available in a limited resources setting. In addition, it is highlighted the need to facilitate contact between patients affected by this disease and the interdisciplinary groups, overcoming administrative barriers typical of some health systems. CONCLUSION: We present a consensus on the treatment of placenta accreta spectrum in a low- and middle-income countries, based on local experts’ opinions. Construction of high-quality scientific evidence is essential in settings with limited resources. |
| first_indexed | 2024-03-13T00:54:59Z |
| format | Article |
| id | doaj.art-3723c7e7fa81410893d94e00dc2f7ebb |
| institution | Directory Open Access Journal |
| issn | 2666-5778 |
| language | English |
| last_indexed | 2024-03-13T00:54:59Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJOG Global Reports |
| spelling | doaj.art-3723c7e7fa81410893d94e00dc2f7ebb2023-07-07T04:27:52ZengElsevierAJOG Global Reports2666-57782023-08-0133100188Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a GlanceAlbaro José Nieto-Calvache, MD0José Enrique Sanín-Blair, MD1Marcela Buitrago, MD2Juliana Maya, MD3Jesús Andrés Benavides, MD4Clínica de Espectro de Acretismo Placentario, Fundación Valle de Lili, Cali, Colombia (Dr Nieto-Calvache); Corresponding author: Albaro José Nieto-Calvache, MD.Unidad de Medicina Materno Fetal, Clínica Universitaria Bolivariana / Clínica el Rosario, Medellín, Colombia (Dr Sanin-Blair)Medicina Materno Fetal - Epidemiología. División de Medicina Materno Fetal, Departamento de Gineco Obstetricia, Clínica de la Mujer Grupo Quirón Salud/Country/Colina, Coordinadora Comité Salud Materno Perinatal – ASBOG, Bogotá, Colombia (Dr Buitrago)Facultad de Ciencias de la Salud, Universidad ICESI, Cali, Colombia (Dr Maya)Unidad de Medicina Materno Fetal Perinatal Care IPS, Servicio de Ginecología y Obstetricia, Clínica San Rafael, Departamento de Ginecología y Obstetricia, Institución Universitaria Visión de las Américas, Pereira, Colombia (Dr Benavides)BACKGROUND: Management options for placenta accreta spectrum disorder are multiple, without a clear picture of which one is superior. Management guidelines describe the use of a wide range of human and technological resources that are not always available in resource-limited settings. OBJECTIVE: This consensus seeks agreement on general guidelines that facilitate the management of placenta accreta spectrum in low- and middle-income countries. STUDY DESIGN: Consensus was developed using the modified Delphi methodology, incorporating 3 successive rounds in which 6 dimensions of placenta accreta spectrum treatment were discussed: pathway for placenta accreta spectrum care, roles at different levels of care, organization of the interdisciplinary teams at the reference hospitals, training interdisciplinary teams, placenta accreta spectrum surgical treatment, and management of placenta accreta spectrum patients without prenatal diagnosis. RESULTS: Consensus was achieved on all questions on placenta accreta spectrum management. Specific low- and middle-income countries problems were addressed, trying to establish guidelines for the construction of trained placenta accreta spectrum interdisciplinary teams, as well as the rational use of the different therapeutic options available in a limited resources setting. In addition, it is highlighted the need to facilitate contact between patients affected by this disease and the interdisciplinary groups, overcoming administrative barriers typical of some health systems. CONCLUSION: We present a consensus on the treatment of placenta accreta spectrum in a low- and middle-income countries, based on local experts’ opinions. Construction of high-quality scientific evidence is essential in settings with limited resources.http://www.sciencedirect.com/science/article/pii/S2666577823000291consensus development conferencelimited resourceslow- and middle-income populationplacenta accreta spectrum |
| spellingShingle | Albaro José Nieto-Calvache, MD José Enrique Sanín-Blair, MD Marcela Buitrago, MD Juliana Maya, MD Jesús Andrés Benavides, MD Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a Glance AJOG Global Reports consensus development conference limited resources low- and middle-income population placenta accreta spectrum |
| title | Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a Glance |
| title_full | Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a Glance |
| title_fullStr | Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a Glance |
| title_full_unstemmed | Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a Glance |
| title_short | Placenta accreta spectrum: treatment consensus in a resource-limited settingAJOG Global Reports at a Glance |
| title_sort | placenta accreta spectrum treatment consensus in a resource limited settingajog global reports at a glance |
| topic | consensus development conference limited resources low- and middle-income population placenta accreta spectrum |
| url | http://www.sciencedirect.com/science/article/pii/S2666577823000291 |
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