Placenta accreta spectrum: a current literature review

Objective: This literature review was designed to highlight the most up-to-date and evidence-based interventions, whenever available, regarding diagnostic imaging modalities and management strategies for patients, with the placenta accreta spectrum. Materials and Methods: A comprehensive review of t...

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Main Authors: Mohsen M. A. Abdelhafez, Karim A. M. Ahmed,, Mohd Nazri Bin Mohd Daud, Aya M. Eldiasty, Mohammad Saffree Jeffree, Fairrul Kadir, Dg Marshitah Pg Baharuddin, Win Win Than, Firdaus Hayati, DrGenSurg, Nornazirah bt.Azizan, Doreen Sumpat
Format: Article
Language:English
Published: SAGE Publications 2023
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Online Access:https://eprints.ums.edu.my/id/eprint/42574/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/42574/
https://doi.org/10.1177/87564793231185059
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Summary:Objective: This literature review was designed to highlight the most up-to-date and evidence-based interventions, whenever available, regarding diagnostic imaging modalities and management strategies for patients, with the placenta accreta spectrum. Materials and Methods: A comprehensive review of the literature was conducted using database searches in Science Direct, Google Scholar, and PubMed to locate the most up-to-date information, related to this topic. Results: The placenta accreta spectrum has an unclear etiology, with cesarean delivery and placenta previa being the most implicated factors. Conclusion: There is a growing global consensus that the two main risk factors for placenta accreta are placenta previa and prior cesarean delivery. Up-to-date, grayscale sonography combined with Doppler interrogation is thought to be the best first-line assistance, for the identification of abnormal placental invasion. Cesarean hysterectomy, with placenta left in situ, is the classical surgical treatment.