Developing a care bundle for the management of suspected placenta accreta

Authors


Department of Obstetrics and Gynaecology, Queen Charlotte's Hospital, Imperial College NHS Healthcare Trust, Du Cane Road, London W12 OHS, UK Email: sara.paterson-brown@imperial.nhs.uk

Abstract

Key content:

  • Care bundles are an established method of improving health care but they have not been used in obstetrics to date.

  • The NPSA, RCOG and RCM set up an expert group to explore whether care bundles could be a useful tool in the management of women with a low-lying placenta who have had a previous caesarean section.

  • A care bundle was designed and piloted in six obstetric units over a 5-month period and was found to be achievable in all of them.

Learning objectives:

  • To learn about the risks of morbidly adherent placenta.

  • To learn about the methods of developing a care bundle.

  • To examine the evidence for the usefulness of a care bundle for placenta praevia after previous caesarean section.

Ethical issues:

  • Once introduced to a unit, would failure to use a care bundle constitute substandard care?

  • Will the standards of care outlined in care bundles be unrealistic in some units with limited resources?

Please cite this article as: Paterson-Brown S, Singh C. Developing a care bundle for the management of suspected placenta accreta. The Obstetrician & Gynaecologist 2010;12:21–27.

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