A nationwide survey of centers with multidisciplinary teams for placenta accreta patient care in Colombia, observational study

J Matern Fetal Neonatal Med. 2022 Jun;35(12):2331-2337. doi: 10.1080/14767058.2020.1786052. Epub 2020 Jul 6.

Abstract

Introduction: MAP is associated with severe morbidity and maternal mortality. Therefore, it requires that patients with this condition to be attended in centers that have trained personnel and specific infrastructure. We aimed to identify the hospitals in Colombia that count on the minimum amount of medical specialties to manage this pathological condition and describe their general care practices.

Methodology: Observational study in 87 obstetric tertiary care centers in Colombia. The requested information was collected using a predesigned survey, applied to the reported hospitals, and stored in an electronic database.

Results: Eighty-six hospitals were identified as possessing the capacity to care for women with accreta, of which 71 provided information (82.55% compliance). Although 83.09% of hospitals choose to treat patients with accreta, only 36.6% has a fixed group of specialists, 32.21% did not have interventional radiology, 25.36% did not have a blood bank, and 67.79% did not have intraoperative cell recovery devices; 77.46% of the surveyed hospitals had cared for five or fewer patients with accreta per year.

Conclusion: Most hospitals manage a low number of MAP cases per year, which are handled by shift specialists and not by a fixed group of professionals, which increases the difficulty of achieving expertise.

Keywords: Placenta accreta; health surveys; interdisciplinary communication.

Publication types

  • Observational Study

MeSH terms

  • Cesarean Section
  • Colombia
  • Female
  • Humans
  • Hysterectomy
  • Patient Care
  • Patient Care Team
  • Placenta Accreta* / surgery
  • Placenta Accreta* / therapy
  • Pregnancy