{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:59:12Z","timestamp":1781661552098,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T00:00:00Z","timestamp":1710892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The optimal management of placenta accreta spectrum (PAS) requires the participation of multidisciplinary teams that are often not locally available in low\u2010resource settings. Telehealth has been increasingly used to manage complex obstetric conditions. Few studies have explored the use of telehealth for PAS management, and we aimed evaluate the usage of telehealth in the management of PAS patients in low\u2010resource settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between March and April 2023, an observational, survey\u2010based study was conducted, and obstetricians\u2010gynecologists with expertise in PAS management in low\u2010 and middle\u2010income countries were contacted to share their opinion on the potential use of telehealth for the diagnosis and management of patients at high\u2010risk of PAS at birth. Participants were identified based on their authorship of at least one published clinical study on PAS in the last 5\u2009years and contacted by email. This is a secondary analysis of the results of that survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 158 authors contacted we obtained 65 responses from participants in 27 middle\u2010income countries. A third of the participants reported the use of telehealth during the management obstetric emergencies (38.5%, <jats:italic>n<\/jats:italic>\u2009=\u200925) and PAS (36.9%, <jats:italic>n<\/jats:italic>\u2009=\u200924). Over 70% of those surveyed indicated that they had used \u201cinformal\u201d telemedicine (phone call, email, or text message) during PAS management. Fifty\u2010nine participants (90.8%) reported that recommendations given remotely by expert colleagues were useful for management of patients with PAS in their setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Telehealth has been successfully used for the management of PAS in middle\u2010income countries, and our survey indicates that it could support the development of specialist care in other low resource settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15474","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T06:49:15Z","timestamp":1711003755000},"page":"1031-1039","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Is telehealth useful in the management of placenta accreta spectrum in low\u2010resource settings? Results of an exploratory survey"],"prefix":"10.1002","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5639-9127","authenticated-orcid":false,"given":"Albaro Jos\u00e9","family":"Nieto\u2010Calvache","sequence":"first","affiliation":[{"name":"Departamento de Ginecolog\u00eda y Obstetricia Fundaci\u00f3n Valle del Lili, Cl\u00ednica de Espectro de Acretismo Placentario  Cali Colombia"},{"name":"Universidad Icesi  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin A.","family":"Fox","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch at Galveston  Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Jauniaux","sequence":"additional","affiliation":[{"name":"Faculty of Population Health Sciences EGA Institute for Women's Health, University College London (UCL)  London 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Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M.","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Cairo  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Duvekot","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Erasmus Medical Center  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rozi","family":"Aryananda","sequence":"additional","affiliation":[{"name":"Maternal\u2013Fetal Medicine Division, Obstetrics and Gynecology Department Dr. Soetomo Academic General Hospital, Universitas Airlangga  Surabaya Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro Solo","family":"Nieto\u2010Calvache","sequence":"additional","affiliation":[{"name":"Universidad Nacional Abierta y a Distancia (UNAD)  Cali 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