2021
DOI: 10.1002/uog.23100
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Abstract: What are the novel findings of this work? Routine contingent screening for placenta accreta spectrum disorders based on the finding of placenta previa and previous uterine surgery is effective in a public healthcare setting. What are the clinical implications of this work? A contingent screening strategy for placenta accreta spectrum disorders is feasible in an ultrasound service where placenta localization is routinely performed. When linked to a placenta accreta diagnostic and surgical management service, ad… Show more

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Cited by 24 publications
(13 citation statements)
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“…Advanced maternal age (age greater than 35 years old), multiparity, smoking, history of curettage, assisted reproductive technology, prior cesarean section, and prior placenta previa may increase the incidence of placenta previa [13][14][15] . The common complications of placenta previa include placenta accrete spectrum (PAS), uncontrolled antepartum/postpartum hemorrhage, so blood transfusion, hysterectomy, ICU care may need [16,17] .…”
Section: Discussionmentioning
confidence: 99%
“…Advanced maternal age (age greater than 35 years old), multiparity, smoking, history of curettage, assisted reproductive technology, prior cesarean section, and prior placenta previa may increase the incidence of placenta previa [13][14][15] . The common complications of placenta previa include placenta accrete spectrum (PAS), uncontrolled antepartum/postpartum hemorrhage, so blood transfusion, hysterectomy, ICU care may need [16,17] .…”
Section: Discussionmentioning
confidence: 99%
“…This strategy has been explored by a retrospective study encompassing 57,179 women scanned between 18-23 gestational weeks. 27 For the 7.8% of patients with a low-lying placenta, a 32 week scan was arranged to assess placental position. Only 220 (0.4%) had a diagnosis of persistent placenta previa.…”
Section: Contingent Second and Third Trimester Screening For Pasmentioning
confidence: 99%
“…Although early diagnosis of PAS is desirable to avoid associated adverse outcome [8][9][10][11][12][13][14][15] , it is challenging, and the diagnosis is often missed even in high-risk populations 16 . Among women with anterior placenta previa and previous CS, 1 in 3 is at risk of PAS 17 . Hence, the pretest probability of PAS is high in these women, and they should ideally be screened in early pregnancy.…”
Section: Introductionmentioning
confidence: 99%