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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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“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.”
From Placenta accreta spectrum – variations in clinical practice and maternal morbidity between the UK and France: a population‐based comparative study (2022) · cites this paper as [22]
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- Chandraharan E, Rao S, Belli AM, Arulkumaran S. The Triple-P procedure as a conservative surgical alternative to peripartum hysterectomy for placenta percreta. Int J Gynaecol Obstet 2012;117:191-194.22326782
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Metadata
- 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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