Lack of experience is a main cause of maternal death in placenta accreta spectrum patients

Albaro J. Nieto-Calvache, Jose M. Palacios-Jaraquemada, Gabriel Osanan, Rafael Cortes-Charry, Rozi A. Aryananda, Vidyadhar B. Bangal, Aziz Slaoui, Ahmed M. Abbas, Godwin O. Akaba, Zaman N. Joshua, Lina M. Vergara Galliadi, Alejandro S. Nieto-Calvache, José E. Sanín-Blair, Juan M. Burgos-Luna, Adriana M. Bryon, Euler Javier Burbano, Jaime López, Javier A. Carvajal, Juan Pablo Benavides-Calvache, Maria F. EscobarMaria P. Echavarria, Astrid Cervantes, Adda P. Rozo-Rangel, Edgar Acuña-Osorio, Katherin Camargo-Zambrano, Alberto Cano Del Carpio, Alejandra Hidalgo, Sara Rebolledo, Tatiana Barrera, Álvaro Recinos, Paola López, William Arriaga, Carlos Caicedo, Carlos G. Sánchez, Claudia Peñaranda, Eduardo Romero, Edgar Iván Ortiz, Eliana P. Rivera, Enrique Guevara Ríos, Fanny Corrales, Gloria N. Rojas-Vallet, Héctor Figueroa, Isaac Vargas, Jesús A. Benavides, Nadya Ramirez-Perez, Jorge Delgado-Florez, Maria de la Luz Bermúdez-Rojas, Lía Matera, Luz M. Mojica-Palacios, Rudy Aguilera, Maria E. Ramírez Saavedra, Nerina Herrera, Nicolas Basanta, Oscar Muñoz, Susan Contreras, Wilson Mereci, Fredy Gonzalez, Amina Lakhdar, Aziz Baydada, Najia Zeraidi, Aicha Kharbach, Sarah Talib

Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva

40 Citas (Scopus)

Resumen

Introduction: Placenta accreta spectrum (PAS) is a serious condition with a mortality as high as 7%. However, the factors associated with this type of death have not been adequately described, with an almost complete lack of publications analyzing the determining factors of death in this disease. The aim of our work is to describe the causes of death related to PAS and to analyze the associated diagnosis and treatment problems. Material and methods: This is an inter-continental, multicenter, descriptive, retrospective study in low- and middle-income countries. Maternal deaths related to PAS between January 2015 and December 2020 were included. Crucial points in the management of PAS, including prenatal diagnosis and details of the surgical treatment and postoperative management, were evaluated. Results: Eighty-two maternal deaths in 16 low- and middle-income countries, on three continents, were included. Almost all maternal deaths (81 cases, 98.8%) were preventable, with inexperience among surgeons being identified as the most relevant problem in the process that led to death among 87% (67 women) of the cases who had contact with health services. The main cause of death associated with PAS was hemorrhage (69 cases, 84.1%), and failures in the process leading to the diagnosis were detected among 64.6% of cases. Although the majority of cases received medical attention and 50 (60.9%) were treated at referral centers for severe obstetric disease, problems were identified during treatment in all cases. Conclusions: Lack of experience and inadequate surgical technique are the most frequent problems associated with maternal deaths in PAS. Continuous training of interdisciplinary teams is critical to modify this tendency.
Idioma originalEspañol (Colombia)
Páginas (desde-hasta)1445-1453
Número de páginas9
PublicaciónActa Obstetricia et Gynecologica Scandinavica
Volumen100
N.º8
DOI
EstadoPublicada - 25 abr. 2021

Palabras clave

  • developing countries
  • experience
  • maternal death
  • placenta accreta
  • quality of healthcare

Tipos de Productos Minciencias

  • Artículos de investigación con calidad A1 / Q1

Citar esto