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Placenta Accreta Spectrum Basic Science, Diagnosis, Classification and Management Sherif A. Shazly Ahmed A. Nassr Editors 123 Placenta Accreta Spectrum Sherif A. Shazly • Ahmed A. Nassr Editors Placenta Accreta Spectrum Basic Science, Diagnosis, Classification and Management Editors Sherif A. Shazly Ahmed A. Nassr Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Leeds Teaching Hospitals NHS Trust Baylor College of Medicine Leeds, UK Houston, TX, USA ISBN 978-3-031-10346-9 ISBN 978-3-031-10347-6 (eBook) https://doi.org/10.1007/978-3-031-10347-6 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Contents 1 History of Placenta Accreta Spectrum . . . . . . . . . . . . . . . . . . . . . . . . . 1 Nashwa Anwar Eltaweel and Ahmed Y. Hefnawy 2 Epidemiology of Placenta Accreta Spectrum: A Comprehensive Review of Current Evidence . . . . . . . . . . . . . . . . . . 5 Alekhya Chintamani and Boon Lim 3 Pathogenesis of Placenta Accreta Spectrum . . . . . . . . . . . . . . . . . . . . . 23 Erbil Karaman, Deniz Dirik, and Onur Karaaslan 4 Anatomy of Placenta Accreta Spectrum . . . . . . . . . . . . . . . . . . . . . . . . 29 José M. Palacios-Jaraquemada, Nicolás Basanta, Álbaro Nieto-Calvache, and Rozi Aditya Aryananda 5 Classification of Placenta Accreta Spectrum . . . . . . . . . . . . . . . . . . . . 45 Rozi Aditya Aryananda and Grace Ariani 6 Diagnosis of Placenta Accreta Spectrum: Clinical and Radiological Diagnosis of Placenta Accreta Spectrum and the Ability of Sonographic and MRI Findings to Predict Definitive Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Bahram Salmanian, Scott A. Shainker, Alireza A. Shamshirsaz, and Ahmed A. Nassr 7 Definitive Management of Placenta Accreta Spectrum . . . . . . . . . . . . 73 Pedro Viana Pinto, Ana Paula Machado, and Marina Moucho 8 Conservative Management of Placenta Accreta Spectrum . . . . . . . . . 87 Ismet Hortu, Elif Yagmur Erdem, and Ahmet Mete Ergenoglu 9 Adjunctive Treatment of Placenta Accreta Spectrum . . . . . . . . . . . . . 97 Sohum C. Shah, Karin A. Fox, and Ahmed A. Nassr v vi Contents 10 Prediction and Risk Reduction of Clinical Outcomes of Placenta Accreta Spectrum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Mohamed I. Ateya, Ahmed S. Sedik, Islam A. Ahmed, Mostafa H. Abouzeid, and Sherif A. Shazly 11 Evidence-Based Management of Placenta Accreta Spectrum . . . . . . 117 Sherif A. Shazly, Ahmad A. Radwan, AlBatool M. AlMahdy, Mohamed I. Ateya, Mostafa H. Abouzeid, Esraa G. Sayed, and Gena M. Elassall 12 Prevention of Placenta Accreta Spectrum Disorders . . . . . . . . . . . . . . 139 Tatiana B. Makukhina and Grigory A. Penzhoyan 13 Setting Up a Referral Center for Placenta Accreta Spectrum . . . . . . 155 Sarah Tounsi, Karin A. Fox, Michael A. Belfort, and Ahmed A. Nassr 14 Management of PAS in Low-Resource Settings . . . . . . . . . . . . . . . . . . 161 Dema Adwan, Ahed Hamed, Mustafa Albokai, and Mhd Ali Alabdulrazak 15 Management of Placenta Accreta Spectrum in the Second Trimester . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 Omima T. Taha, Maryam Abdelkarim, Nourah Al Qahtani, and Ayman S. Dawood 16 Long-Term Outcomes of Conservative Management of PAS: Long-Term Sequences and Impact on Future Pregnancies . . . . . . . . 193 Mahmoud A. Abdel-Aleem Contributors Mahmoud A. Abdel-Aleem Department of Obstetrics and Gynecology, Assiut University, Assiut, Egypt Maryam  Abdelkarim Obstetrics and Gynecology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt Mostafa H. Abouzeid Women Health Hospital, Assiut University, Assiut, Egypt Department of Obstetrics and Gynecology, Assiut University, Assiut, Egypt Dema Adwan Department of Obstetrics & Gynecology, Damascus University, Damascus, Syria University Hospital of Obstetrics and Gynecology, Damascus University, Damascus, Syria Islam A. Ahmed Faculty of Medicine, Assiut University, Assiut, Egypt Mhd  Ali  Alabdulrazak Faculty of Medicine, Damascus University, Damascus, Syria Mustafa Albokai Faculty of Medicine, Damascus University, Damascus, Syria AlBatool M. AlMahdy Faculty of Medicine, Assiut University, Assiut, Egypt Grace  Ariani Department of Anatomical Pathology, Dr. Soetomo Academic General Hospital, Universitas Airlangga, Surabaya, Indonesia Rozi Aditya Aryananda Dr. Soetomo Academic General Hospital, Universitas Airlangga, Surabaya, Indonesia Mohamed I. Ateya Department of Obstetrics and Gynecology, South Valley University, Qena, Egypt Nicolás Basanta Fernández Hospital and School of Medicine, 1° Anatomy Chair, University of Buenos Aires, Buenos Aires, Argentina vii viii Contributors Michael A. Belfort Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA Alekhya  Chintamani Department of Obstetrics and Gynaecology, Canberra Health Services, Canberra, ACT, Australia Ayman S. Dawood Obstetrics and Gynecology Department, Faculty of Medicine, Tanta University, Tanta, Egypt Deniz Dirik Medical Faculty, Department of Obstetrics and Gynecology, Van Yuzuncu Yil University, Van, Turkey Gena M. Elassall Faculty of Medicine, Assiut University, Assiut, Egypt Nashwa Anwar Eltaweel Department of Obstetrics and Gynaecology, University Hospitals of Coventry and Warwickshire, Coventry, UK Elif Yagmur Erdem Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey Ahmet Mete Ergenoglu Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey Karin A. Fox Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA Ahed Hamed Department of Obstetrics & Gynecology, Damascus University, Damascus, Syria Al Zahrawi Maternity Hospital, Damascus, Syria Ahmed Y. Hefnawy Department of Obstetrics and Gynaecology, The Northern Care Alliance NHG group, Oldham, Manchester, UK Ismet Hortu Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey Onur Karaaslan Medical Faculty, Department of Obstetrics and Gynecology, Van Yuzuncu Yil University, Van, Turkey Erbil Karaman Medical Faculty, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Van Yuzuncu Yil University, Van, Turkey Boon Lim Department of Obstetrics and Gynaecology, Canberra Health Services, Canberra, ACT, Australia Australian National University, Canberra, ACT, Australia Ana Paula Machado Serviço de Ginecologia e Obstetrícia, Centro Hospitalar São João, Porto, Portugal Tatiana B. Makukhina Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation, Faculty of Postgraduate Education, Department of Obstetrics, Gynecology and Perinatology, Krasnodar, Russia Contributors ix Marina Moucho Serviço de Ginecologia e Obstetrícia, Centro Hospitalar São João, Porto, Portugal Ahmed A. Nassr Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA Álbaro Nieto-Calvache Placenta Accreta Spectrum Clinic, Fundación Valle del Lili, Cali, Colombia José M. Palacios-Jaraquemada CEMIC University Hospital and 1° Anatomy Chair, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina Universitas Airlangga, Surabaya, Indonesia Grigory A. Penzhoyan Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation, Faculty of Postgraduate Education, Department of Obstetrics, Gynecology and Perinatology, Krasnodar, Russia Pedro Viana Pinto Serviço de Ginecologia e Obstetrícia, Centro Hospitalar São João, Porto, Portugal Faculdade de Medicina, Universidade do Porto, Porto, Portugal Nourah Al Qahtani Obstetrics and Gynecology Department, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia Ahmad A. Radwan Faculty of Medicine, Assiut University, Assiut, Egypt Bahram Salmanian Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA Esraa G. Sayed Faculty of Medicine, Assiut University, Assiut, Egypt Ahmed S. Sedik Faculty of Medicine, Assiut University, Assiut, Egypt Sohum C. Shah Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA Scott A. Shainker New England Center for Placental Disorders, Beth Israel Deaconess Medical Center, Boston, MA, USA Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA, USA Alireza  A.  Shamshirsaz Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA Sherif A. Shazly Department of Obstetrics and Gynecology, Leeds Teaching Hospitals NHS Trust, Leeds, UK Omima T. Taha Obstetrics and Gynecology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt Sarah  Tounsi Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA Chapter 1 History of Placenta Accreta Spectrum Nashwa Anwar Eltaweel and Ahmed Y. Hefnawy The placenta accreta spectrum is a broad-spectrum pathology related to the abnor- mally deeply invading and abnormally adherent placental tissues through the uter- ine wall. Many theories tried to explain the reason behind the pathology; however, the most popular theory is the destruction of the decidual lining either by the previ- ous caesareans, curettage, infection, IVF, or myomectomy; simply any disruption of the endometrial lining can predispose to the deeper implantation of the placenta through the underlying myometrial layer. The degree of this adherence to or through the myometrium will further classify the severity of the pathology [1]. With the rising rates of caesarean section deliveries, it is believed that it was associated with the new emerging pathology “placenta accreta spectrum” despite lacking strong evidence to support this theory [2]. By searching the literature, we noted that, in 1885, the first suspected pathologically adherent placenta was described when Macdonald described a case of a suspected adherent placenta fol- lowing a prolonged vaginal birth, where some cotyledons were retained intrauterine following vaginal delivery; the patient was managed conservatively by opiate for pain control and ergot as an ecbolic to enhance uterine activity. The cotyledons were retained for days and passed spontaneously as they could not be removed manually; however, the patient had postpartum sepsis [3]. In 1927, S Foster, from Montreal hospital in Canada, reported “a case of pla- centa accreta”. The patient had a vaginal breech delivery for a dead fetus. After delivery, he could not deliver the placenta despite a trial of manual removal under N. A. Eltaweel (*) Department of Obstetrics and Gynaecology, University Hospitals of Coventry and Warwickshire, Coventry, UK e-mail: [email protected] A. Y. Hefnawy Department of Obstetrics and Gynaecology, The Northern Care Alliance NHG group, Oldham, Manchester, UK © The Author(s), under exclusive license to Springer Nature 1 Switzerland AG 2023 S. A. Shazly, A. A. Nassr (eds.), Placenta Accreta Spectrum, https://doi.org/10.1007/978-3-031-10347-6_1

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