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The Management of Placenta Accreta Spectrum Disorder.
Bridget M Donovan1, Lisa C Zuckerwise
1University of Virginia, Charlottesville, Virginia.
Clinical Obstetrics and Gynecology
|April 17, 2025
Summary
This review covers placenta accreta spectrum (PAS) management, a high-risk pregnancy condition. Multidisciplinary care is vital, but research is needed to optimize patient outcomes and surgical approaches.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Placenta accreta spectrum (PAS) is a severe obstetric complication with increasing incidence.
- PAS poses significant risks for maternal hemorrhage and surgical morbidity.
Purpose of the Study:
- To review current management strategies for placenta accreta spectrum (PAS).
- To guide clinical management from diagnosis through postpartum care.
- To highlight areas of uncertainty and the need for further research.
Main Methods:
- Review of available data and literature on PAS management.
- Emphasis on team-based, patient-centered, and multidisciplinary care approaches.
Main Results:
- Current evidence strongly supports multidisciplinary care for PAS patients.
- Management strategies are guided by expert opinion in many uncertain areas.
- Optimization of patient outcomes requires further research into management and surgical techniques.
Conclusions:
- Multidisciplinary, patient-centered care is crucial for managing placenta accreta spectrum.
- Significant uncertainties remain, necessitating continued research.
- Further investigation into management and surgical approaches is paramount for improving patient outcomes and experience.
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