1. Q7 Placenta Praevia
Select the components of the care bundle for 'Placenta Accreta'
The six elements considered to be reflective of good care are:
Consultant obstetrician planning and directly supervising delivery.
Consultant anaesthetist planning and directly supervising anaesthesia at delivery.
Blood and blood products available.
Multidisciplinary involvement in preoperative planning.
Discussion and consent, including possible interventions (such as hysterectomy, leaving the placenta in situ, cell
salvage and interventional radiology).
Local availability of a level 2 critical care bed.
According to the RCOG- Any lack of compliance with the care bundle by the clinical team for a woman with either placenta praevia or accreta
should be investigated.
According to MBBRACE-UK 2014 to 2016- Women who have had a previous caesarean section who also have either placenta praevia or an anterior placenta underlying the old caesarean section scar at 32 weeks of gestation are at increased risk of placenta accreta and should be managed as if they have placenta accreta, with appropriate preparations for surgery made.
