Work

A placenta accreta spectrum review: focusing on antenatal care and surgical approach

Year: 2025

Type: article

Abstract: The primary risk factor for a morbidly adherent placenta (placenta accreta spectrum) is a previous caesarean birth. It is estimated that by 2030 28.5% of births worldwide will be performed by caesarean birth. The extensive remodelling which the lower uterine segment undergoes post caesarean birth causes disruption of the normal histological boundaries between uterus and a low-lying placenta in any subsequent pregnancy. We know that placenta accreta spectrum (PAS) is a condition which carries a high risk of maternal morbidity and mortality. There is a limited amount of research concerning PAS and there is wide variation in the management worldwide. This article aims to summarize current guidance and research, whilst introducing exciting areas of research, discussion and debate; it will focus on antenatal care, diagnosis, surgical staging and the surgery itself.

Source: Obstetrics Gynaecology & Reproductive Medicine

DOI: 10.1016/j.ogrm.2025.11.004

Authors: Lucy Blanks, Nia Wyn Jones

Institution: University of Nottingham

Language: English

Topic: Maternal and fetal healthcare

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,800