The Role of Centers of Excellence With Multidisciplinary Teams in the Management of Abnormal Invasive Placenta
The Role of Centers of Excellence With Multidisciplinary Teams in the Management of Abnormal Invasive Placenta
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DOI：
10.1097/grf.0000000000000393
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发表时间：
2018-12-01
影响因子：
1.5
通讯作者：
Belfort, Michael A.
中科院分区：
文献类型：
--
作者：
Shamshirsaz, Alireza A.;Fox, Karin A.;Belfort, Michael A.
侵袭性胎盘异常(AIP)会导致严重的孕产妇和围产儿发病率和死亡率。随着剖腹产发生率的增加，这种情况在过去20年里变得更加常见。灰阶和多普勒超声的进步促进了对异常胎盘的产前诊断，从而使多学科管理计划的制定成为可能。当在AIP护理方面拥有多学科专业知识和经验的中心完成交付时，结果会得到改善。本文强调了发展和管理一个致力于卓越中心AIP治疗的多学科团队所需的特征。
Abnormal invasive placenta (AIP) causes significant maternal and perinatal morbidity and mortality. With the increasing incidence of cesarean delivery, this condition is dramatically more common in the last 20 years. Advances in grayscale and Doppler ultrasound have facilitated prenatal diagnosis of abnormal placentation to allow the development of multidisciplinary management plans. Outcomes are improved when delivery is accomplished in centers with multidisciplinary expertise and experience in the care of AIP. This article highlights the desired features for developing and managing a multidisciplinary team dedicated to the treatment of AIP in center of excellence.