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Obstetric and Anaesthesia Checklists for the Management of Morbidly Adherent Placenta
Melissa G Walker1, Lindsay Pollard1, Chiraag Talati2
1Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto ON.
Objective:
To develop an integrated checklist for the management of patients with suspected morbidly adherent placenta (MAP).
Methods:
A checklist process was developed incrementally by clinicians in the disciplines of maternal-fetal medicine, gynaecology, medical imaging, and anaesthesia for management of women with suspected MAP.
Results:
Over a five-year period of debriefing after individual cases, a comprehensive checklist system was developed. The checklist is activated upon referral if MAP is suspected at an initial maternal-fetal medicine consultation; the process is subsequently guided by a clinical nurse specialist, leading to a standardized program of care.
Conclusions:
Having a checklist process facilitates standardized care and optimal communication between specialists, providing team-based care for women with this potentially serious complication of pregnancy.
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