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