No abstract

Se desarrollo una propuesta de plataforma web que permite acompañar como herramienta de integración de datos recogidos durante el desarrollo de proyecto de salud mental para todos, una propuesta de investigación en la UNAD. Se presenta una descripción desde lo técnico y la incorporación de los módulos de formularios inspirado en el proyecto de salud mental promovido por el Hospital Psiquiátrico del Valle del Cauca, en que se emplea como apoyo a las actividades que realizaba el grupo de psicólogos, trabajadores sociales y psiquiátras participantes, quienes realizarán su acompañamiento en las instituciones educativas públicas de la región del Valle del Cauca. Igualmente se presenta un esquema básico desde el aspecto ético que se tuvo como consideración para el desarrollo de cada módulo que contiene la plataforma.

79 pregnant women were diagnosed at the 2nd or 3rd trimester with placenta previa and followed at this hospital till birth. 59% were multiparous, and 51% of these had at least one prior Caesarean section. 15 pregnancies resulted from IVF treatment. There were 3 dichorionic/diamniotic twin pregnancies, with placenta previa in one of the fetuses. There were 5 cases of placenta previa with placenta accreta spectrum, one diagnosed intrapartum. The mean age of the women was 35, and the mean gestational age at birth was 36,43 weeks. The outcome was good for most women, with a mean of 3,6 days hospitalised after birth. 32% had post-partum anemia, 41% of which needed blood transfusion. Hysterectomy was performed in 4 of the women with placenta accreta spectrum, and one woman with isolated placenta previa needed a Bakri balloon after the Caesarean section due to uterine atony. Conclusions: Advanced maternal age, multiparity, previous Caesarean section and IVF treatments were associated risk factors, with the majority of women being multiparous. The outcome for most women was good, and the most common consequence was postpartum anemia. VP44.19Placenta accreta spectrum intraoperative finding: always evaluate if possibleto defer surgery and if ''tele-help'' is available

Objectives: Placenta accreta spectrum (PAS) is a serious pathology. In 2016, the High Obstetric Complexity Unit (HOCU) of Fundaci ón Valle del Lili (FVL) formed an interdisciplinary group specialised for the management of PAS, called the placenta accreta spectrum clinic (PASC), incorporating quality policies and activities from research to healthcare practice. We present the results of this initiative. Methods: the changes presented in the HOCU involved research as a strategy to evaluate and adopt best practices in PAS, make the program visible at the national level, and reward participants for their efforts. The very scarce information available at the Latin American level and the opportunity that FVL had to apply quality policies and carry out the research was quickly evident. We compare the institutional results of the management of PAS in our institution, before (period 1) and after the operation of PASC (period 2). Results: We observed better results in all the parameters observed in period 2. The patients seen in period 2 had a lower volume of intraoperative bleeding (10% lower volume), lower frequency of transfusions (−10%), duration of surgery (−33%) and postoperative hospitalisation (−50%), fewer ureteral injuries (−68%), hospitalisation of neonates (−72%), use of hospital resources (−16.5%), as well as a higher frequency of uterine preservation (+ 139%). Additionally, in period 2, 11 articles were published in indexed scientific journals, 12 exhibitions were held at scientific congresses and new healthcare products (teleconsultation in PAS) and educational products were generated for patients and health professionals. Conclusions: The consolidation of interdisciplinary groups under health care models such as PASC, driven by research, improves clinical results and reduces the consumption of health resources. OC02.06 An effective training program for antenatal diagnosis of placenta accreta spectrum disorder during an epidemic of Caesarean deliveries