Key result
A survey of 154 Latin American reference centers for placenta accreta spectrum found that 64.3% handle about one case every two months, and 89.6% believe their performance could be improved.
Why the study?
Placenta accreta spectrum requires management in specialized centers with interdisciplinary teams, but few publications have described usual management within a specific geographic region.
Cross-Sectional (n=154)
Yes
Most PAS reference centers in Latin America manage a low volume of cases and identify opportunities for improvement in care.
Low-volume Latin American PAS centers may need targeted training; leaves open optimal referral and quality-improvement strategies.
INTRODUCTION: Placenta accreta spectrum (PAS) causes severe morbidity and can result in maternal death. It must be managed in specialized centers with interdisciplinary groups, but few publications have described the usual management within a specific geographic region. We intend to describe the usual approach for PAS in reference centers in Latin America. METHODOLOGY: This was an observational, multicenter, cross-sectional study conducted in Latin American PAS reference centers. A standardized survey was implemented and applied to obstetric service coordinators and leaders of interdisciplinary groups with experience in PAS between September and November 2020. RESULTS: One hundred fifty-four hospitals were included. Most of them (64.3%) handle approximately one case of PAS every two months, and almost all centers (89.6%) believe that their performance could be improved. CONCLUSIONS: Most of the reference centers for PAS in Latin America attend to a small number of cases each year, and almost all of these hospitals identify opportunities to improve the management or approach for PAS in women.
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Nieto‐Calvache et al. (2021) conducted a cross-sectional in Placenta accreta spectrum (n=154). Management practices was evaluated on Usual approach for PAS. A survey of 154 Latin American reference centers for placenta accreta spectrum found that 64.3% handle about one case every two months, and 89.6% believe their performance could be improved.
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