140 The Placenta Accreta Spectrum Team at KEMH Part two.

Hi Everyone,

Welcome to Part Two of our discussion with two of the founding members of the Placenta Accreta Spectrum Team here at KEMH Dr Matt Epee-Bekima and Dr David Owen. This team was conceived in 2017 and began operating in 2018 – and has now cared for over 75 women with PAS – including 24 alone this year (2024). In this episode we continue our initial discussion with a more detailed dive into:

  • Surgical management – team members, techniques and approach
  • Techniques for catastophic bleeding – manual aortic compression, vascular clamping, interventional radiology
  • Postpartum issues
  • Controversies (ICU vs HDU, leaving placenta in -situ)
  • Thoughts for the future

Thanks Matt & David for sharing the experiences and knowledge learnt by the PAS team over the last 7 years.

References

https://www.kemh.health.wa.gov.au/~/media/HSPs/NMHS/Hospitals/WNHS/Documents/Clinical-guidelines/Obs-Gyn-Guidelines/Placenta-Accreta.pdf?thn=0

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