Placenta Accreta Spectrum

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(Abstracted from N Engl J Med 2018;378:1529–1536)Placenta accreta spectrum refers to abnormal adherence of the placental trophoblast to the uterine myometrium. There are 3 definitions within this spectrum: placental accreta (placental attachment to myometrium without intervening decidua), placenta increta (invasion of the trophoblast into the myometrium), and placenta percreta (invasion of the trophoblast through the myometrium, serosa, and into surrounding tissue).

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