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. 2023 Jun;45(6):297-302.
doi: 10.1055/s-0043-1770917. Epub 2023 Jul 21.

Placenta Accreta Spectrum Disorders: Current Recommendations from the Perspective of Antenatal Imaging

Conrado Milani Coutinho  1 , Alexia Viegas Georg  1 , Ligia Conceição Assef Marçal  1 , Albaro José Nieto-Calvache  2   3 , Theophilus Adu-Bredu  4 , Francesco D'Antonio  5 , José Miguel Palacios-Jaraquemada  6
Affiliations

Placenta Accreta Spectrum Disorders: Current Recommendations from the Perspective of Antenatal Imaging

Conrado Milani Coutinho et al. Rev Bras Ginecol Obstet. 2023 Jun.
No abstract available

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Conflict of interest statement

None to declare.

Figures

Fig. 1
Fig. 1
The broader spectrum of potential complications in pregnancies with prior uterine scars. On first and second lines, the respective ultrasound and surgical appearances of the following potential pregnancy abnormalities: A - myometrial dehiscence without overlying placenta; B - myometrial dehiscence with partial placental intrusion; C - myometrial dehiscence with complete placental intrusion; D - cesarean scar pregnancy; E - placenta accreta spectrum. Apart from case A, placenta previa is present on all other cases. On the lower line, potential perinatal adverse outcomes: major uterine bleeding, uterine rupture, unintentional bladder lesion, and neonatal complications of prematurity.
Fig. 2
Fig. 2
Intraoperative topographical classification for placenta accreta spectrum and management protocol. MSTH, Modified subtotal hysterectomy; OSCS, One-step conservative surgery; PAS, Placenta accreta spectrum. Source: Adapted from Nieto-Calvache AJ, Aguilera LR. Simulation, a fundamental component of training to treat placenta accreta spectrum. Rev Bras Ginecol Obstet. 2022;44(12):1159-60. doi: 10.1055/s-0042-1760216.
See this image and copyright information in PMC

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