Multidisciplinary Team Management of a Patient with Placenta Percreta for Elective Cesarean Section

Edgard M. Simon1,2

1Department of Anesthesiology, College of Medicine and
Philippine General Hospital, University of the Philippines Manila
2Asian Hospital and Medical Center, Muntinlupa City, Philippines

The incidence of placenta previa/percreta are increasing in numbers and accounts for high maternal morbidity and mortality. This is a case of placenta previa/percreta successfully managed by multidisciplinary team. This case demonstrates that adequate knowledge, effective communication, and the availability and utilization of resources all play significant roles. The team includes an obstetrician, gynecologic oncologist, urologist, vascular surgeon, anesthesiologist, neonatologist, and blood bank and nursing personnel. Prenatal identification of risk factors and diagnosis aid in the implementation of treatment strategies by team. Team effort and elective delivery in a tertiary hospital is essential to improve both maternal and neonatal outcome.

Key Words: placenta previa, placenta percreta, multidisciplinary team, cesarean delivery, hysterectomy, hemorrhage