“…83 There are many additional obstetrical surgery factors which require support for ongoing obstetrical surgery excellence (Table 7). 4,6,7,60,63,69,79,[84][85][86] Guidelines have shown to be an effective strategy for improving health outcomes and processes of care in medicine. 87 In addition, the guidelines are useful in decreasing the clinical care gap between research and current practice with the goal to reduce inappropriate variability in practice [ Fischer 85].…”
Section: Dovepressmentioning
confidence: 99%
“…This source provides a consensus statement and a pictorial review of the seven major MRI features for use in diagnosis and management. 69 A panel of FIGO experts has consensually proposed a new classification and guidelines criteria for the pathologic diagnosis of PAS diseases: [70][71][72][73][74][75] Placenta Accreta Spectrum (PAS) Grades (1-3).…”
This obstetric surgery review is directed toward the common obstetrical surgeries (caesarean delivery, VBAC/TOLAC, operative vaginal delivery, placenta accreta spectrum) with evidence for quality and safety to allow for obstetrical outcome excellence. Materials and Methods: This focused scoping review has used a structured process for article identification and inclusion for each of the focused surgeries. Results: The review results provide an obstetrical surgery (OS) overview for caesarean delivery, vaginal birth after caesarean delivery and/or trial of labor after caesarean delivery, operative vaginal delivery, placenta accreta spectrum; considerations for quality and safety variance due to non-clinical human factors; quality improvement (QI) tools; OS QI implementation cohorts; implementation considering certain barriers and solutions. Conclusion: Administrative health care systems and obstetrical surgery care providers cannot afford, not to consider and implement, certain evidenced-based "bottom-up/top-down" processes for quality and safety, as the patients will demand the quality and the safety, but the lawyers should not have to enforce it.
“…83 There are many additional obstetrical surgery factors which require support for ongoing obstetrical surgery excellence (Table 7). 4,6,7,60,63,69,79,[84][85][86] Guidelines have shown to be an effective strategy for improving health outcomes and processes of care in medicine. 87 In addition, the guidelines are useful in decreasing the clinical care gap between research and current practice with the goal to reduce inappropriate variability in practice [ Fischer 85].…”
Section: Dovepressmentioning
confidence: 99%
“…This source provides a consensus statement and a pictorial review of the seven major MRI features for use in diagnosis and management. 69 A panel of FIGO experts has consensually proposed a new classification and guidelines criteria for the pathologic diagnosis of PAS diseases: [70][71][72][73][74][75] Placenta Accreta Spectrum (PAS) Grades (1-3).…”
This obstetric surgery review is directed toward the common obstetrical surgeries (caesarean delivery, VBAC/TOLAC, operative vaginal delivery, placenta accreta spectrum) with evidence for quality and safety to allow for obstetrical outcome excellence. Materials and Methods: This focused scoping review has used a structured process for article identification and inclusion for each of the focused surgeries. Results: The review results provide an obstetrical surgery (OS) overview for caesarean delivery, vaginal birth after caesarean delivery and/or trial of labor after caesarean delivery, operative vaginal delivery, placenta accreta spectrum; considerations for quality and safety variance due to non-clinical human factors; quality improvement (QI) tools; OS QI implementation cohorts; implementation considering certain barriers and solutions. Conclusion: Administrative health care systems and obstetrical surgery care providers cannot afford, not to consider and implement, certain evidenced-based "bottom-up/top-down" processes for quality and safety, as the patients will demand the quality and the safety, but the lawyers should not have to enforce it.
“…Myoadherent placenta would include placenta accreta, and myoinvasive placenta would encompass placenta increta and percreta. 1 Ultrasound is the initial modality utilized to evaluate the gravid uterus. Specific ultrasound findings, such as placentallacunae, loss of the retroplacental clear space, and myometrial thinning can suggest abnormal placentation, however limitations of ultrasound include the small field of view, mistaking normal structures for pathology, difficulty in evaluating the posteriorly situated placenta and parametrial regions, and difficulty in evaluating overweight patients.…”
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