Angela MarÃa Olarte Castillo
Intensive Pediatrics Unit Care, Cali Valle del Cauca , Colombia
Title: IS THERE A PLACE FOR HUMANIZATION DURING THE SURGICAL MANAGEMENT OF PLACENTA ACCRETA SPECTRUM
Biography
Biography: Angela MarÃa Olarte Castillo
Abstract
Introduction: The placenta accreta spectrum (PAS) is a cause of maternal mortality and massive obstetric hemorrhage. The application of humanization strategies during birth (HBS) is rare.
We reported a series of cases of PAS with the application of HBS and evaluated the concept of these activities by a group of anesthesiologists in a Latin American hospital.
Methodology: A prospective descriptive study was conducted. We included all patients taken for scheduled PAS surgical management after prenatal diagnosis and interdisciplinary surgical planning at Fundación Valle de Lili (FVL), in Cali, Colombia. We divided the population according to whether (Group 1) or not (Group 2) HBS will be applied and the clinical outcomes of both groups. Additionally, we evaluated the perception that FVL anesthesiologists had about HBS in patients affected by PAS, applying a survey.
Results: n=13 patients, 7 Table 1 describes the clinical characteristics of Groups 1 and 2. All patients in group 1 benefited from the skin-mother-baby contact in the operating room, while the median time for contact with the newborn was 6.5 hours in group 2. Five patients in group 1 (71.4%) had a companion during surgery. No anesthesiologist reported any additional difficulty in the management of group 1 patients with the application of HBS.
Although 91% of the 24 anesthesiologists interviewed were aware of HBS, only 37.5% applied it when treating patients with PAS (table 2).
Conclusion: Applying HBS in cases of PAS is possible in selected cases, attended by experienced centers.