Management of patients with suspected placenta accreta spectrum

Reale, Sharon C; Farber, Michaela K.

doi:10.1016/j.bjae.2021.10.002

Cited by 7 publications

(2 citation statements)

References 35 publications

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“…Decision aids have been found to be particularly useful in these situations, by improving patient's knowledge of the risks and benefits, creating more realistic expectations, and assisting healthcare providers to understand their patients' expectations and preferences 19,25 . Certainly, participants in this study responded positively to the suggestion of a decision aid 28 and their use in PAS has been recommend by others 26,27 …”

Section: Discussionmentioning

confidence: 78%

“…19,25 Certainly, participants in this study responded positively to the suggestion of a decision aid 28 and their use in PAS has been recommend by others. 26,27 Additionally, using a decision aid may also identify those who prefer their healthcare providers to advise them on what is best, and not have to make decisions around care. Although these were in the minority 28 , it's important for clinicians to recognize women who prefer not to play an active role in decision making because repeating information that they find stressful can add to the trauma of the experience.…”

Section: Overarching Theme: Healthcare Provider Experience Of Anesthe...mentioning

confidence: 99%

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Anesthesia and postpartum pain management for placenta accreta spectrum: The healthcare provider perspective

Bartels,

Walsh,

Nieto‐Calvache

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo explore the management and experiences of healthcare providers around anesthetic care in placenta accreta spectrum (PAS).MethodsThis descriptive survey study was carried out over a 6‐week period between January and March 2023. Healthcare providers, both anesthesiologists and those involved in operative care for women with PAS, were invited to participate. Questions invited both quantitative and qualitative responses. Qualitative responses were analyzed using content analysis.ResultsIn all, 171 healthcare providers responded to the survey, the majority of whom were working in tertiary PAS referral centers (153; 89%) and 116 (70%) had more than 10 years of clinical experience. There was variation in the preferred primary mode of anesthesia for PAS cases; 69 (42%) used neuraxial only, but 58 (35%) used a combined approach of neuraxial and general anesthesia, with only 12 (8%) preferring general anesthesia. Ninety‐nine (61%) were offering a routine antenatal anesthesia consultation. Content analysis of qualitative data identified three main themes, which were “variation in approach to primary mode of anesthesia”, “perspectives of patient preferences”, and “importance of multidisciplinary team care”. These findings led to the development of a decision aid provided as part of this paper, which may assist clinicians in counseling women on their options for care to come to an informed decision.ConclusionsApproach to anesthesia for PAS varied between healthcare providers. The final decision for anesthesia should take into consideration the clinical care needs as well as the preferences of the patient.

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Section: Discussionmentioning

confidence: 78%