Developing a care bundle for the management of suspected placenta accreta
Article first published online: 24 JAN 2011
2010 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 12, Issue 1, pages 21–27, January 2010
How to Cite
Paterson-Brown, S. and Singh, C. (2010), Developing a care bundle for the management of suspected placenta accreta. The Obstetrician & Gynaecologist, 12: 21–27. doi: 10.1576/toag.12.1.021.27554
- Issue published online: 24 JAN 2011
- Article first published online: 24 JAN 2011
- blood bank;
- cell salvage;
- high dependency unit;
- National Patient Safety Agency;
- previous caesarean section;
- morbidly adherent placenta;
- placenta accreta;
- placenta praevia
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.
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.
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.