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Placenta Praevia after Caesarean Section Care Bundle

Reference number
1136
Issue date10 February 2010
TypeToolkit

The Placenta Praevia after Caesarean Section (PPCS) Care Bundle is a tool to support safer clinical practice in maternity units. This aims to reduce harm associated with placenta praevia in women who have had one or more previous caesarean sections. The care bundle has been put together following a review of evidence and expert consensus.

 

All women undergoing caesarean section at high risk of placenta accreta should be managed in line with this care bundle. This will include:

 

  • Women with one or more previous caesarean section and placenta praevia.

  • Women with a previous scar where imaging of placental localisation has found the placenta to be lying over the previous scar, even if it is well clear of the internal cervical os.

 

The elements of the care bundle are:

 

  1. Consultant obstetrician planned and directly supervising delivery.

  2. Consultant obstetric anaesthetist planned and directly supervising anaesthesia at delivery.

  3. Blood and blood products available on-site.

  4. Multidisciplinary involvement in pre-operative planning.

  5. Discussion and consent includes possible interventions (such as hysterectomy, leaving placenta in situ, cell salvage and interventional radiology).

  6. Local availability of level 2 critical care bed.

 

Webinar discussion

 

On 15 July, Professor James Walker (NPSA Clinical Advisor, Obstetrics) and Sara Johnson (Head of Patient Safety, Child Health and Maternity Care) presented a webinar to discuss the PPCS Care Bundle.

 

Listen to the webinar: 

 

Placenta Praevia after Caesarean Section Care Bundle Recording

 

This webinar recording is of interest to obstetricians, midwives, maternity service managers, trust executives, risk managers and other health care professionals involved in the care of women undergoing caesarean section at high risk of placenta accreta.

 

Placenta Praevia after Caesarean Section Care Bundle: the six elements
Placenta Praevia after Caesarean Section Care Bundle: the six elements - 38 KB 1136 | Intrapartum Toolkit | PPCS - Six elements | 2010-10-02 | v1
How to use the Placenta Praevia after Caesarean Section Care Bundle
How to use the Placenta Praevia after Caesarean Section Care Bundle - 200 KB 1136 | Intrapartum Toolkit | How to use the ppcs | 2010-10-02 | v1
Placenta Praevia after Caesarean Section Care Bundle: background information for healthcare professionals
Placenta Praevia after Caesarean Section Care Bundle: background information for healthcare professionals - 126 KB 1136 | Intrapartum Toolkit | PPCS - Background information for Healthcare professionals | 2010-10-02 | v1
Placenta Praevia after Caesarean Section Care Bundle: patient checklist
Placenta Praevia after Caesarean Section Care Bundle: patient checklist - 17 KB 1136 | Intrapartum Toolkit | PPCS - Patient checklist | 2010-10-02 | v1
Placenta Praevia after Caesarean Section Care Bundle: aggregate compliance chart
Placenta Praevia after Caesarean Section Care Bundle: aggregate compliance chart - 32 KB 1136 | Intrapartum Toolkit | PPCS - Aggregate compliance chart | 2010-10-02 | v1
Placenta Praevia after Caesarean Section Care Bundle: example run chart
Placenta Praevia after Caesarean Section Care Bundle: example run chart - 35 KB 1136 | Intrapartum Toolkit | PPCS - Example run chart | 2010-10-02 | v1
Placenta Praevia after Caesarean Section Care Bundle: blank run chart
Placenta Praevia after Caesarean Section Care Bundle: blank run chart - 42 KB 1136 | Intrapartum Toolkit | PPCS | Blank run chart | 2010-09-02 | v1
Placenta Praevia after Caesarean Section Care Bundle: FAQs
Placenta Praevia after Caesarean Section Care Bundle: FAQs - 90 KB 1136 | Intrapartum Toolkit | How to use the ppcs | 2010-05-02 | v1