“Mobile” Medicine: A Surprise Encounter with Placenta Percreta

Aitken, Kara; Cram, Jennifer; Raymond, Elin; Okun, Nan; Allen, Lisa; Windrim, Rory

doi:10.1016/s1701-2163(15)30579-x

Cited by 10 publications

(3 citation statements)

References 2 publications

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“…Similarly, telemedicine has been described as useful at strengthening interdisciplinary PAS teams, prenatal diagnosis, 20 surgical planning, 21 surgical performance, 22 and postoperative learning activities. 23 However, the usefulness of telemedicine in overcoming the geographic, economic, and administrative barriers inherent to LMICs, needs to be evaluated further.…”

Section: Discussionmentioning

confidence: 99%

Placenta accreta spectrum: treatment consensus in a resource-limited setting

Nieto-Calvache¹,

Blair²,

Buitrago³

et al. 2023

AJOG Global Reports

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Section: Discussionmentioning

confidence: 99%

Placenta accreta spectrum: treatment consensus in a resource-limited setting

Nieto-Calvache¹,

Blair²,

Buitrago³

et al. 2023

AJOG Global Reports

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“…Telemedicine is used to improve US 5 and MRI diagnosis, 11 facilitate the referral process, 5,17 solve specific doubts related to the management of PAS, 18 and improve the planning and execution of PAS surgeries 11,18 …”

Section: Discussionmentioning

confidence: 99%

“…Thus, even by basic means of connection, possibilities exist for beneficial surgical learning. 16 Telemedicine is used to improve US 5 and MRI diagnosis, 11 facilitate the referral process, 5,17 solve specific doubts related to the management of PAS, 18 and improve the planning and execution of PAS surgeries. 11,18 Although multiple therapeutic options for PAS have been described, and no current evidence exists regarding which is superior 19 ;…”

Section: Ta B L Ementioning

confidence: 99%

Telemedicine facilitates surgical training in placenta accreta spectrum

Nieto-Calvache

Palacios‐Jaraquemada

Aguilera

et al. 2021

Intl J Gynecology & Obste

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Placenta accreta spectrum (PAS) quality care demands abundant health resources, including trained surgical teams. Although surgeon training is related to better clinical results 1 and improper surgical techniques are associated with death due to PAS, 2 training in the management of this disease is challenging because no specific educational programs exist and the flow of patients is variable, even at specialized centers.

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Is telehealth useful in the management of placenta accreta spectrum in low‐resource settings? Results of an exploratory survey

Nieto‐Calvache,

Fox,

Jauniaux

et al. 2024

Intl J Gynecology & Obste

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ObjectiveThe optimal management of placenta accreta spectrum (PAS) requires the participation of multidisciplinary teams that are often not locally available in low‐resource settings. Telehealth has been increasingly used to manage complex obstetric conditions. Few studies have explored the use of telehealth for PAS management, and we aimed evaluate the usage of telehealth in the management of PAS patients in low‐resource settings.MethodsBetween March and April 2023, an observational, survey‐based study was conducted, and obstetricians‐gynecologists with expertise in PAS management in low‐ and middle‐income countries were contacted to share their opinion on the potential use of telehealth for the diagnosis and management of patients at high‐risk of PAS at birth. Participants were identified based on their authorship of at least one published clinical study on PAS in the last 5 years and contacted by email. This is a secondary analysis of the results of that survey.ResultsFrom 158 authors contacted we obtained 65 responses from participants in 27 middle‐income countries. A third of the participants reported the use of telehealth during the management obstetric emergencies (38.5%, n = 25) and PAS (36.9%, n = 24). Over 70% of those surveyed indicated that they had used “informal” telemedicine (phone call, email, or text message) during PAS management. Fifty‐nine participants (90.8%) reported that recommendations given remotely by expert colleagues were useful for management of patients with PAS in their setting.ConclusionTelehealth has been successfully used for the management of PAS in middle‐income countries, and our survey indicates that it could support the development of specialist care in other low resource settings.

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“Mobile” Medicine: A Surprise Encounter with Placenta Percreta

Cited by 10 publications

References 2 publications

Placenta accreta spectrum: treatment consensus in a resource-limited setting

Placenta accreta spectrum: treatment consensus in a resource-limited setting

Telemedicine facilitates surgical training in placenta accreta spectrum

Is telehealth useful in the management of placenta accreta spectrum in low‐resource settings? Results of an exploratory survey

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