ABSTRACT
Abdominal ectopic pregnancy (AEP) occurs within the peritoneal cavity, outside the genital organs (uterus, tubes, ovaries). It is an unusual condition with an incidence that varies from 1:10,000 to 1:30,000 of all pregnancies worldwide. A 38-year-old primigravid patient was diagnosed in the second trimester with AEP. Pregnancy reached 35.6 gestational weeks, and the patient underwent surgery via laparotomy for extraction of the live fetus. Complete removal of the placenta was performed without maternal or fetal complications. AEP is an important cause of maternal and fetal death; the mortality rate in pregnant women with AEP is approximately 1-18%. Surgical intervention to deliver a baby in cases of AEP requires a multidisciplinary team, especially in countries with limited therapeutic options.
ABSTRACT
INTRODUCTION: Placenta accreta spectrum (PAS) causes severe morbidity and can result in maternal death. It must be managed in specialized centers with interdisciplinary groups, but few publications have described the usual management within a specific geographic region. We intend to describe the usual approach for PAS in reference centers in Latin America. METHODOLOGY: This was an observational, multicenter, cross-sectional study conducted in Latin American PAS reference centers. A standardized survey was implemented and applied to obstetric service coordinators and leaders of interdisciplinary groups with experience in PAS between September and November 2020. RESULTS: One hundred fifty-four hospitals were included. Most of them (64.3%) handle approximately one case of PAS every two months, and almost all centers (89.6%) believe that their performance could be improved. CONCLUSIONS: Most of the reference centers for PAS in Latin America attend to a small number of cases each year, and almost all of these hospitals identify opportunities to improve the management or approach for PAS in women.
