Are women antenatally diagnosed with abnormally invasive placenta receiving optimal management in England? An observational study of planned place of delivery
Open accessAbstract
Introduction: The aim of this study was to investigate the planned place of delivery for women antenatally diagnosed with abnormally invasive placenta (AIP) in England and identify how many units regard themselves to be “specialist centers” for the management of AIP. Material and methods: Observational study of obstetric‐led units in England. An anonymous survey was sent to the delivery suite lead clinician in all 154 consultant‐led units throughout England. The main outcome measures were whether each unit planned to manage AIP “in‐house”, the estimated number of AIP cases delivered in the previous 5 years and whether the unit considered itself a “specialist center” for AIP management. Results: In all, 114 of 154 units responded (74%): 80 (70%) manage AIP cases “in‐house”, 23 (29%) of these report that they regard themselves “specialist centers” for AIP. The 23 “specialist centers” managed significantly more cases than “non‐specialist centers” (5.4, 95% confidence interval (CI) 4.3‐7.3 vs 2.3, 95% CI 1.5‐3.1 cases/unit/year; P < .001); nearly one‐third of “non‐specialist centers” manage less than 1 case per year. Extrapolating the reported number of cases to all 154 obstetrician‐led delivery units produces an estimate of 5.2 cases per 10 000 births over the last 5 years. Conclusions: Most units plan to manage AIP “in‐house” despite encountering few cases each year. Centralizing care would allow the multidisciplinary team in each “specialist center” to develop significant experience in the management of this rare condition, leading to improved outcomes for the women.
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A recent study in the UK found that one-third of maternity centres in the last 5 years managed fewer than one case of PAS per year.
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Cites
Should Operations Be Regionalized?
Luft, H. S., Bunker, J. P., & Enthoven, A. C. (1979) · New England Journal of Medicine · doi:10.1056/nejm197912203012503 · Cited by 1,770 · see citing works
Eller, A. G., Bennett, M. A., Sharshiner, M., Masheter, C., Soisson, A. P., Dodson, M., & Silver, R. M. (2011) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3182051db2 · Cited by 556 · see citing works
Enhancing Surveys of Health Care Professionals
Cho, Y. I., Johnson, T. P., & VanGeest, J. B. (2013) · Evaluation & the Health Professions · doi:10.1177/0163278713496425 · Cited by 489 · see citing works
Shamshirsaz, A. A., Fox, K. A., Salmanian, B., Diaz-Arrastia, C. R., Lee, W., Baker, B. W., Ballas, J., Chen, Q., Van Veen, T. R., Javadian, P., et al. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.08.019 · Cited by 478 · see citing works
Thurn, L., Lindqvist, P., Jakobsson, M., Colmorn, L., Klungsoyr, K., Bjarnadóttir, R., Tapper, A., Børdahl, P., Gottvall, K., Petersen, K., et al. (2016) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.13547 · Cited by 367 · see citing works
Fitzpatrick, K., Sellers, S., Spark, P., Kurinczuk, J., Brocklehurst, P., & Knight, M. (2014) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12405 · Cited by 357 · see citing works
The Influence of Volume and Experience on Individual Surgical Performance
Maruthappu, M., Gilbert, B. J., El‐Harasis, M. A., et al. (2014) · Annals of Surgery · doi:10.1097/sla.0000000000000852 · Cited by 237 · see citing works
Morlando, M., Sarno, L., Napolitano, R., Capone, A., Tessitore, G., Maruotti, G. M., & Martinelli, P. (2013) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.12080 · Cited by 132 · see citing works
Maternal and Fetal Outcomes in Placenta Accreta After Institution of Team-Managed Care
Al-Khan, A., Gupta, V., Illsley, N. P., Mannion, C., Koenig, C., Bogomol, A., Alvarez, M., & Zamudio, S. (2014) · Reproductive Sciences · doi:10.1177/1933719113512528 · Cited by 119 · see citing works
Chantraine, F., Braun, T., Gonser, M., Henrich, W., & Tutschek, B. (2013) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.12081 · Cited by 108 · see citing works
The Impact of Surgeon Volume on Perioperative Outcomes in Hysterectomy
Vree, F. E. M., Cohen, S. L., Chavan, N. R., et al. (2014) · JSLS Journal of the Society of Laparoscopic & Robotic Surgeons · doi:10.4293/108680813x13753907291594 · Cited by 100 · see citing works
Surgeon Procedure Volume and Complication Rates in Anterior Cervical Discectomy and Fusions
Cole, T. S., Veeravagu, A., Zhang, M., et al. (2014) · Clinical Spine Surgery A Spine Publication · doi:10.1097/bsd.0000000000000238 · Cited by 47 · see citing works
Budäus, L., Sun, M., Abdollah, F., et al. (2010) · Annals of Surgical Oncology · doi:10.1245/s10434-010-1300-0 · Cited by 25 · see citing works
Association Between Surgeon Experience and Complication Rates in Adult Scoliosis Surgery
Skovrlj, B., Cho, S. K.-W., Caridi, J. M., et al. (2015) · Spine · doi:10.1097/brs.0000000000000993 · Cited by 24 · see citing works
Cole, T. S., Veeravagu, A., Zhang, M. Y., et al. (2014) · The Spine Journal · doi:10.1016/j.spinee.2014.08.304 · Cited by 1 · see citing works
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McCall, S. J., Deneux‐Tharaux, C., Sentilhes, L., Ramakrishnan, R., Collins, S. L., Seco, A., Kurinczuk, J. J., Knight, M., & Kayem, G. (2022) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17169 · Cited by 38 · see citing works
Self-citation
- Authors
- Sargent, W., & Collins, S. L.
- Affiliations
- University of Oxford (GB)
- John Radcliffe Hospital (GB)
- Corresponding author
- Collins, Sally L.
- Venue
- Acta Obstetricia et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 2018-11-15
- Volume
- 98
- Issue
- 3
- Pages
- 337-341
- ISSN
- 0001-6349 (ISSN-L)
- 1600-0412
- PMC
- PMC6519468
- OpenAlex
- W2898485299
- Cited by
- 21
- References
- 15
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 1
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (UO1‐HD087209)
- National Institutes of Health (UO1‐HD087209)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- abnormally invasive placenta, centralization of care, prenatal diagnosis, placenta accreta spectrum, multidisciplinary team
- MeSH terms
- Adult, England, Female, Postpartum Hemorrhage, Humans, Patient Care Planning, Patient Care Team, Placenta Diseases, Pregnancy, Risk Factors, Ultrasonography, Prenatal, Young Adult
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