Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery
<strong>Introduction</strong> The aim of this study was to investigate the planned place of delivery for women antenatally diagnosed with abnormally invasive placenta (AIP) in England and identify how many units regard themselves to be ‘specialist centres’ for the management of AIP. <...
| Main Authors: | , |
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| Format: | Journal article |
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Wiley
2018
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| _version_ | 1826295637482668032 |
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| author | Sargent, W Collins, S |
| author_facet | Sargent, W Collins, S |
| author_sort | Sargent, W |
| collection | OXFORD |
| description | <strong>Introduction</strong> The aim of this study was to investigate the planned place of delivery for women antenatally diagnosed with abnormally invasive placenta (AIP) in England and identify how many units regard themselves to be ‘specialist centres’ for the management of AIP. <strong>Material and methods</strong> Observational study of obstetric‐led units in England. An anonymous survey sent to the delivery suite lead clinician in all 154 consultant‐led units throughout England. The main outcome measures were whether each unit planned to manage AIP ‘in‐house’, estimated number of AIP cases delivered in the previous five years and whether they considered themselves a ‘specialist centre’ for AIP management. <strong>Results</strong> 114 of 154 units responded (74%), 80 (70%) manage AIP cases ‘in‐house’ with 23 (29%) of these reporting that they regard themselves ‘specialist centres’ for AIP. The 23 ‘specialist centres’ managed significantly more cases than ‘non‐specialist centres’ (4 [95% CI 4.3‐7.3] vs 1.5 [95% CI 1.5‐3.1] cases/unit/year; p< 0.001), nearly one third of ‘non‐specialist centres’ manage ≤one case per year. Extrapolating the reported number of cases to all 154 obstetrician‐led delivery units produces an estimate of 5.2 cases per 10,000 births over the last five years. <strong>Conclusions</strong> Most units plan to manage AIP ‘in‐house’ despite encountering few cases each year. Centralising care would allow the multi‐disciplinary team in each ‘specialist centre’ to develop significant experience in management of this rare condition leading to improved outcomes for the women. |
| first_indexed | 2024-03-07T04:04:07Z |
| format | Journal article |
| id | oxford-uuid:c58e4cf7-4ea8-4c18-9ac4-cb15a90eef8a |
| institution | University of Oxford |
| last_indexed | 2024-03-07T04:04:07Z |
| publishDate | 2018 |
| publisher | Wiley |
| record_format | dspace |
| spelling | oxford-uuid:c58e4cf7-4ea8-4c18-9ac4-cb15a90eef8a2022-03-27T06:31:55ZAre women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of deliveryJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c58e4cf7-4ea8-4c18-9ac4-cb15a90eef8aSymplectic Elements at OxfordWiley2018Sargent, WCollins, S<strong>Introduction</strong> The aim of this study was to investigate the planned place of delivery for women antenatally diagnosed with abnormally invasive placenta (AIP) in England and identify how many units regard themselves to be ‘specialist centres’ for the management of AIP. <strong>Material and methods</strong> Observational study of obstetric‐led units in England. An anonymous survey sent to the delivery suite lead clinician in all 154 consultant‐led units throughout England. The main outcome measures were whether each unit planned to manage AIP ‘in‐house’, estimated number of AIP cases delivered in the previous five years and whether they considered themselves a ‘specialist centre’ for AIP management. <strong>Results</strong> 114 of 154 units responded (74%), 80 (70%) manage AIP cases ‘in‐house’ with 23 (29%) of these reporting that they regard themselves ‘specialist centres’ for AIP. The 23 ‘specialist centres’ managed significantly more cases than ‘non‐specialist centres’ (4 [95% CI 4.3‐7.3] vs 1.5 [95% CI 1.5‐3.1] cases/unit/year; p< 0.001), nearly one third of ‘non‐specialist centres’ manage ≤one case per year. Extrapolating the reported number of cases to all 154 obstetrician‐led delivery units produces an estimate of 5.2 cases per 10,000 births over the last five years. <strong>Conclusions</strong> Most units plan to manage AIP ‘in‐house’ despite encountering few cases each year. Centralising care would allow the multi‐disciplinary team in each ‘specialist centre’ to develop significant experience in management of this rare condition leading to improved outcomes for the women. |
| spellingShingle | Sargent, W Collins, S Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery |
| title | Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery |
| title_full | Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery |
| title_fullStr | Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery |
| title_full_unstemmed | Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery |
| title_short | Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery |
| title_sort | are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in england an observational study of planned place of delivery |
| work_keys_str_mv | AT sargentw arewomenantenatallydiagnosedwithabnormallyinvasiveplacentareceivingoptimalmanagementinenglandanobservationalstudyofplannedplaceofdelivery AT collinss arewomenantenatallydiagnosedwithabnormallyinvasiveplacentareceivingoptimalmanagementinenglandanobservationalstudyofplannedplaceofdelivery |