Clinical governance Developing a care bundle for the management of suspected placenta accreta

Summary The placenta praevia accreta care bundle was easyto use and it was achievable.It helped promptsenior input and multidisciplinary planning. 25The Obstetrician & Gynaecologist 2010;12:21–27 Clinical governance © 2010 Royal College ofObstetricians and GynaecologistsConsultant Consultant Numberof Interventional Caearean cover anaesthetist ITU transfer VBAC rate women with radiology section (hours whole-time rate/ as % ofall Numberof placenta service Pilot site Maternities rate (%) perweek) equivalents 1000 women previous CS repeat CS praevia availableA. DGH 3361 19 40 1.44 0.6 59 110 14 On labourwardB. TH 7985 26 56 2.67 1 26 687 34 In radiology buton adifferentsiteC. TH 4519 20 40 2.23 1 24 249 16 On labourwardD. TH 5143 33 40 2.69 1.4 18 554 34 In radiology, same siteE. TH 7322 24 62 2 2.3 35 574 20 NoneF. DGH 5679 26 40 11. 0 39 514 28 In radiology, same siteCS caesarean section(s); DGH districtgeneral hospital; ITU intensive care unit; TH teaching hospital; VBAC vaginal birth afterprevious caesareanTable 1