Placenta Accreta Spectrum
Abstract
Placenta accreta spectrum (abnormal adherence of the placental trophoblast to the uterine myometrium) is increasingly common. Previous cesarean delivery is a risk factor. Management generally involves planned preterm cesarean hysterectomy with the placenta left in situ.
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The approach to conserve the uterus where the placenta is left in situ, either partially or completely, without any attempted removal, is the most common method of conservative management.
“Others have used an approach to conserve the uterus where the placenta is left in situ, either partially or completely, without any attempted removal. 17 , 21 This approach is the most common method of conservative management.”
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- Authors
- Silver, R. M., & Branch, D. W.
- Affiliations
- Intermountain Healthcare (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2018-04-19
- Volume
- 378
- Issue
- 16
- Pages
- 1529-1536
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2800184935
- Cited by
- 511
- References
- 48
- Citations by year
- 2026: 49 · 2025: 74 · 2024: 91 · 2023: 75 · 2022: 72 · 2021: 69 · 2020: 46 · 2019: 28 · 2018: 7
- FWCI
- 7.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- placenta accreta spectrum, placental trophoblast, myometrium, previous cesarean section, retained placenta, risk factors
- MeSH terms
- Adult, Anesthesia, Obstetrical, Cesarean Section, Female, Hemorrhage, Humans, Hysterectomy, Placenta Accreta, Placenta Previa, Pregnancy, Risk Factors, Ultrasonography, Prenatal
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