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“Timing of delivery for placenta accreta spectrum: the Pan-American Society for the Placenta Accreta Spectrum experience”

Published:December 27, 2022DOI:https://doi.org/10.1016/j.ajogmf.2022.100851
      We read with interest the study by Dr. Salmanian et al. about the risk of unscheduled delivery in women with placenta accreta spectrum disorders [1]. The authors analyzed a large cohort of women with PAS disorders from the Pan-American Society for Placenta Accreta Spectrum. Women with PAS with both antenatal diagnosis and confirmed histopathologic findings were included. The authors reported that only 44.6% of women had delivery in the Society for Maternal-Fetal Medicine-recommended gestational age window for PAS disorders (34+0-35+6 weeks), while 58% delivered before 34 weeks. When stratifying the analysis according to the severity of PAS, as defined by histopathological analysis, the risk of unscheduled delivery was even higher for those pregnancies complicated by placenta percreta [1].
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