Shift in delivery timing of placenta accreta spectrum: Influence of a society-based recommendation

Placenta accreta spectrum (PAS) refers to a disease characterized by morbidly adherent trophoblastic tissue to the gravid uterus [ [1] Solomon C.G. Silver R.M. Branch D.W. Placenta accreta spectrum. N Engl J Med. 2018; 378: 1529-1536 Crossref PubMed Scopus (161) Google Scholar ]. The incidence of PAS has been rapidly increasing in the recent years [ [2] Matsuzaki S. Mandelbaum R.S. Sangara R.N. McCarthy L.E. Vestal N.L. Klar M. et al. Trends, characteristics, and outcomes of placenta accreta spectrum: a national study in the United States. Am J Obstet Gynecol. 2021; 225: 534.e1-534.e38 Abstract Full Text Full Text PDF Scopus (34) Google Scholar ]. Patients with antenatally suspected PAS are often undergoing planned hysterectomy at cesarean delivery [ [1] Solomon C.G. Silver R.M. Branch D.W. Placenta accreta spectrum. N Engl J Med. 2018; 378: 1529-1536 Crossref PubMed Scopus (161) Google Scholar ]. Surgery for PAS is associated with significant maternal morbidity and mortality [ [2] Matsuzaki S. Mandelbaum R.S. Sangara R.N. McCarthy L.E. Vestal N.L. Klar M. et al. Trends, characteristics, and outcomes of placenta accreta spectrum: a national study in the United States. Am J Obstet Gynecol. 2021; 225: 534.e1-534.e38 Abstract Full Text Full Text PDF Scopus (34) Google Scholar ].