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. Met...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2023-01-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001000925&lng=en&tlng=en |
| _version_ | 1797944932351082496 |
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| author | Albaro José Nieto-Calvache Alejandra Hidalgo Juliana Maya Beatriz Sánchez Luisa Fernanda Blanco Stiven Ernesto Sinisterra-Díaz Juan Pablo Benavides-Calvache Iván Padilla Ivonne Aldana Martha Jaramillo Ana Maria Gómez Angela María Olarte Castillo Adriana Messa Bryon |
| author_facet | Albaro José Nieto-Calvache Alejandra Hidalgo Juliana Maya Beatriz Sánchez Luisa Fernanda Blanco Stiven Ernesto Sinisterra-Díaz Juan Pablo Benavides-Calvache Iván Padilla Ivonne Aldana Martha Jaramillo Ana Maria Gómez Angela María Olarte Castillo Adriana Messa Bryon |
| author_sort | Albaro José Nieto-Calvache |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T20:46:22Z |
| format | Article |
| id | doaj.art-de9de3de8de54e48b05c9118cb7a1ea6 |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-04-10T20:46:22Z |
| publishDate | 2023-01-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-de9de3de8de54e48b05c9118cb7a1ea62023-01-24T07:34:51ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032023-01-01441092592910.1055/s-0042-1751060Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment?Albaro José Nieto-Calvachehttps://orcid.org/0000-0001-5639-9127Alejandra Hidalgohttps://orcid.org/0000-0002-7049-2982Juliana Mayahttps://orcid.org/0000-0002-6467-160XBeatriz Sánchezhttps://orcid.org/0000-0001-7603-8740Luisa Fernanda Blancohttps://orcid.org/0000-0003-1189-1040Stiven Ernesto Sinisterra-Díazhttps://orcid.org/0000-0001-6971-2098Juan Pablo Benavides-Calvachehttps://orcid.org/0000-0002-0141-4809Iván Padillahttps://orcid.org/0000-0002-0024-2662Ivonne Aldanahttps://orcid.org/0000-0003-4906-3064Martha Jaramillohttps://orcid.org/0000-0003-3790-7389Ana Maria Gómezhttps://orcid.org/0000-0002-8703-3360Angela María Olarte Castillohttps://orcid.org/0000-0003-1555-0948Adriana Messa Bryonhttps://orcid.org/0000-0001-6025-2590ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001000925&lng=en&tlng=enplacenta accretahumanizationbirthing centerspatient-centered care |
| spellingShingle | Albaro José Nieto-Calvache Alejandra Hidalgo Juliana Maya Beatriz Sánchez Luisa Fernanda Blanco Stiven Ernesto Sinisterra-Díaz Juan Pablo Benavides-Calvache Iván Padilla Ivonne Aldana Martha Jaramillo Ana Maria Gómez Angela María Olarte Castillo Adriana Messa Bryon Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? Revista Brasileira de Ginecologia e Obstetrícia placenta accreta humanization birthing centers patient-centered care |
| title | Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? |
| title_full | Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? |
| title_fullStr | Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? |
| title_full_unstemmed | Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? |
| title_short | Is There a Place for Family-centered Cesarean Delivery during Placenta Accreta Spectrum Treatment? |
| title_sort | is there a place for family centered cesarean delivery during placenta accreta spectrum treatment |
| topic | placenta accreta humanization birthing centers patient-centered care |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001000925&lng=en&tlng=en |
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