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Placenta Accreta Spectrum, Present and Future: The Eunice Kennedy Shriver National Institute of Child Health and
Christina M Duzyj1, Brett D Einerson, Yalda Afshar
1Department of Obstetrics and Gynecology, Massachusetts General Hospital, the Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, the Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Brigham and Women's Hospital and Harvard Medical School, and the Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts; the Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the Division of Maternal-Fetal Medicine, University of California, Los Angeles, and the Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, the Department of Obstetrics and Gynecology, Stanford School of Medicine, Stanford, the Department of Radiology, University of California, San Diego, La Jolla, and the National Accreta Foundation, Saratoga, California; the Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, the Department of Obstetrics and Gynecology, UT Southwestern Medical Center, Dallas, the Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School at UTHealth Houston, and the Department of Women's Health, the University of Texas at Austin, Dell Medical School, Austin, Texas; the Department of Obstetrics & Gynecology, Inova Fairfax, Fairfax, the Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, and the Department of Obstetrics and Gynecology, Comprehensive Cancer Center, University of Virginia Health, Charlottesville, Virginia; the Department of Obstetrics & Gynaecology, University of Toronto, and the Division of Maternal-Fetal Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada; the Department of Obstetrics and Gynecology, Bordeaux University Hospital, Bordeaux, France; the Department of Obstetrics and Gynaecology, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland; the Department of Obstetrics and Gynecology, Columbia University, New York, New York; and the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Insights
Experts convened to address challenges in diagnosing and managing placenta accreta spectrum (PAS) disorder. The workshop identified knowledge gaps and outlined strategies for future research and improved patient care in PAS.
Area of Science:
- Maternal-Fetal Medicine
- Obstetrics and Gynecology
- Medical Research Infrastructure
Background:
- Placenta accreta spectrum (PAS) presents significant maternal health risks due to complex diagnosis and management.
- Effective screening, diagnosis, and treatment strategies for PAS are crucial for improving patient outcomes.
Purpose of the Study:
- To identify knowledge gaps in placenta accreta spectrum (PAS) disorder.
- To inform future research and best practices for PAS screening, diagnosis, and management.
- To enhance collaboration among healthcare professionals, researchers, and patient advocates.
Main Methods:
- Convened a workshop on June 10-11, 2024, hosted by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).
- Brought together multidisciplinary experts, including healthcare professionals, researchers, stakeholders, and patient advocates.
- Facilitated discussions on resources, infrastructure, collaboration, and patient experiences.
Main Results:
- Identified critical knowledge gaps in the screening, diagnosis, and management of PAS.
- Explored strategies for optimizing research resources and strengthening partnerships.
- Highlighted the importance of patient perspectives in guiding future research and care.
Conclusions:
- The workshop fostered consensus on essential PAS topics and identified clinical and research priorities.
- Emphasized the need for enhanced collaboration and infrastructure to advance PAS care.
- Recognized patient experiences as vital for improving outcomes in placenta accreta spectrum disorder.
Abstract:
Placenta accreta spectrum (PAS) disorder poses significant risks to maternal health, given the complexities of screening, diagnosis, and management. To address these challenges, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) hosted a workshop on June 10-11, 2024, bringing together expert health care professionals, researchers, stakeholders, and patient advocates to identify knowledge gaps, with an overarching goal of informing future research and best practices for PAS. Key discussions revolved around the resources and infrastructure needed to advance screening, diagnosis, and clinical management of PAS, alongside ways to enhance collaboration across disciplines. Participants considered strategies to optimize existing research resources and explored opportunities to strengthen partnerships between the NICHD and key stakeholders to achieve mutual objectives. The workshop-attended by representatives from the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, the Pan-American Society for the Placenta Accreta Spectrum, the National Accreta Foundation, the American Institute of Ultrasound in Medicine, and the Society of Gynecologic Oncology-aimed to foster consensus on essential PAS topics and to identify clinical and research priorities in all phases of PAS care. Additionally, a critical focus of the workshop was to enhance understanding of patient experiences and needs, recognizing that patient perspectives are essential for informing future research and improving outcomes.
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